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免疫功能正常患者由詹氏乳酸杆菌引起的心内膜炎。

Endocarditis caused by Lactobacillus jensenii in an immunocompetent patient.

机构信息

Laboratorio di Microbiologia, Azienda Ospedaliera 'Sant'Andrea', II Facoltà di Medicina e Chirurgia, Sapienza Università di Roma, Via Grottarossa 1035-1039, Rome, Italy.

Dipartimento di Scienze Biomediche, Università di Chieti-Pescara 'G. D'Annunzio', Via dei Vestini 31, Chieti, Italy.

出版信息

J Med Microbiol. 2010 May;59(Pt 5):607-609. doi: 10.1099/jmm.0.017764-0. Epub 2010 Feb 4.

Abstract

Lactobacilli are Gram-positive rod-shaped bacteria that inhabit the oral cavity, gastrointestinal tract, vagina and nasal cavity. In this report, a rare case of Lactobacillus jensenii endocarditis in a 47-year-old immunocompetent patient is described. Blood cultures and a replaced mitral valve were positive for L. jensenii as assessed by 16S rRNA gene sequencing. Based on susceptibility tests the patient was successfully treated with a mixture of teicoplanin and meropenem antimicrobial therapy.

摘要

乳杆菌属是革兰氏阳性的杆状细菌,栖息于口腔、胃肠道、阴道和鼻腔。本报告描述了一例 47 岁免疫功能正常患者罕见的詹氏乳杆菌心内膜炎病例。血培养和替换的二尖瓣经 16S rRNA 基因测序阳性,检出詹氏乳杆菌。根据药敏试验,患者成功接受了替考拉宁和美罗培南混合抗菌治疗。

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