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由尿肠球菌引起的主动脉瓣Culture-negative 感染性心内膜炎:一种罕见的病因。

Culture-negative infective endocarditis of the aortic valve due to Aerococcus urinae: a rare aetiology.

机构信息

Department of Cardiac Surgery, Heart Center Rostock, Schillingallee 35, D- 18057 Rostock, Germany.

出版信息

Heart Lung Circ. 2012 Apr;21(4):231-3. doi: 10.1016/j.hlc.2011.08.005. Epub 2011 Sep 1.

DOI:10.1016/j.hlc.2011.08.005
PMID:21889909
Abstract

Bacteria of the species Aerococcus urinae are Gram-positive, catalase-negative cocci that are arranged in pairs, tetrads, or clusters resembling enterococci or staphylococci. They are rare causative agents of infective endocarditis. Repetitive urinary tract infections based upon underlying genitourinary tract abnormalities could involve these bacteria. Due to their similarity to other Gram-positive cocci misinterpretation may occur along the line of microbiologic differentiation, which could potentially lead to a fatal outcome. We herein report on the clinical course of a 68 year-old male patient who in the setting of an embolic stroke was initially diagnosed with a culture-negative acute infective endocarditis of the aortic valve.

摘要

尿生殖道阿克雷球菌属的细菌为革兰阳性、触酶阴性球菌,呈双球菌、四联体或葡萄串状,类似肠球菌或葡萄球菌。它们是感染性心内膜炎罕见的病原体。基于潜在的泌尿生殖道异常的复发性尿路感染可能涉及这些细菌。由于它们与其他革兰阳性球菌相似,可能会在微生物学分化过程中出现错误解释,这可能会导致致命后果。本文报告了一位 68 岁男性患者的临床病程,该患者在栓塞性脑卒中时最初被诊断为主动脉瓣无培养物的急性感染性心内膜炎。

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A rare case of Aerococcus urinae infective endocarditis in an atypically young male: case report and review of the literature.
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