霍氏博德特菌：脾切除术后患者细菌性心内膜炎的罕见病因。
Bordetella holmesii: a rare cause of bacterial endocarditis in a post-splenectomy patient.
作者信息
Clare Sarbjit, Ahmed Tariq, Singh Rohit, Gough Stephen
机构信息
City Hospital, Acute Medicine, Birmingham, UK.
出版信息
BMJ Case Rep. 2010 May 6;2010:bcr11.2009.2459. doi: 10.1136/bcr.11.2009.2459.
Abstract
We present a rare case of endocarditis in a 33-year-old woman with a splenectomy. The patient presented with meningeal symptoms and was diagnosed with endocarditis on the medical admissions unit using a portable echocardiography machine. Bordetella holmesii was cultured from the blood on admission and the patient underwent subsequent aortic valve replacement. We discuss the importance of echo skills within the specialty of acute medicine and the benefits of swift senior review at the front door. We emphasise the guidelines on antibiotic prophylaxis for the post-splenectomy patient as well as discuss the pathogen B holmesii and its growing association of septicaemia in asplenic individuals.
摘要
我们报告一例33岁行脾切除术女性患心内膜炎的罕见病例。该患者出现脑膜症状，在医疗入院病房使用便携式超声心动图机被诊断为心内膜炎。入院时血培养出霍氏鲍特菌，患者随后接受了主动脉瓣置换术。我们讨论了急性医学专业中超声技能的重要性以及在前门进行快速高级评估的益处。我们强调了脾切除术后患者抗生素预防的指南，并讨论了病原体霍氏鲍特菌及其在无脾个体中与败血症日益增加的关联。
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本文引用的文献
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Bordetella holmesii bacteremia: a newly recognized clinical entity among asplenic patients.霍氏鲍特菌血症：无脾患者中一种新认识的临床实体。
Clin Infect Dis. 2004 Mar 15;38(6):799-804. doi: 10.1086/381888. Epub 2004 Mar 1.
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Portable echocardiography.便携式超声心动图检查
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Unsuspected clinically important findings detected with a small portable ultrasound device in patients admitted to a general medicine service.在普通内科病房收治的患者中，使用小型便携式超声设备检测到意外的具有临床重要意义的发现。
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Bordetella holmesii-like organisms associated with septicemia, endocarditis, and respiratory failure.与败血症、心内膜炎及呼吸衰竭相关的霍氏博德特氏菌样微生物。
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Overwhelming postsplenectomy infection.脾切除术后暴发性感染
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Bordetella holmesii sepsis in an asplenic adolescent.一名无脾青少年患霍氏博德特菌败血症
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