多部位缺血性中风和亚急性细菌性心内膜炎。
Multi-territory ischaemic strokes and subacute bacterial endocarditis.
作者信息
Safavi Shahideh, Tufnell Michelle, Bhalla Ajay
机构信息
St George's Healthcare NHS Trust, London, UK.
出版信息
BMJ Case Rep. 2010 Sep 9;2010:bcr0620092023. doi: 10.1136/bcr.06.2009.2023.
Abstract
We describe an elderly patient presenting with cardio-embolic stroke who was found to have infective endocarditis (IE) affecting the mitral valve. Penicillin-resistant Facklamia hominis was identified as the causative pathogen. Despite initiation of aggressive antibiotic treatment, the patient suffered a fatal myocardial infarction 2 days post-diagnosis of IE. Facklamia spp. have not been previously reported to be associated with IE. Here, we discuss the link between IE and cardio-embolic stroke along with a discussion of various causative pathogens.
摘要
我们描述了一位患有心源性栓塞性中风的老年患者，该患者被发现患有感染性心内膜炎（IE），累及二尖瓣。耐青霉素的人法氏菌被确定为病原体。尽管开始了积极的抗生素治疗，但该患者在被诊断为IE后2天死于致命性心肌梗死。此前尚未有法氏菌属与IE相关的报道。在此，我们讨论IE与心源性栓塞性中风之间的联系，并探讨各种病原体。
相似文献
1
Multi-territory ischaemic strokes and subacute bacterial endocarditis.多部位缺血性中风和亚急性细菌性心内膜炎。
BMJ Case Rep. 2010 Sep 9;2010:bcr0620092023. doi: 10.1136/bcr.06.2009.2023.
2
Staphylococcus hominis native mitral valve bacterial endocarditis (SBE) in a patient with hypertrophic obstructive cardiomyopathy.一名肥厚型梗阻性心肌病患者发生人葡萄球菌所致的原发性二尖瓣细菌性心内膜炎（SBE）。
Heart Lung. 2007 Sep-Oct;36(5):380-2. doi: 10.1016/j.hrtlng.2006.11.002.
3
Dysphagia as an unusual presentation of infective endocarditis.吞咽困难作为感染性心内膜炎的一种不寻常表现。
Scand J Infect Dis. 2007;39(5):460-3. doi: 10.1080/00365540600981645.
4
Gemella Endocarditis Presenting as an ST-Segment-Elevation Myocardial Infarction.以ST段抬高型心肌梗死为表现的孪生球菌心内膜炎
Tex Heart Inst J. 2016 Jun 1;43(3):258-60. doi: 10.14503/THIJ-15-5170. eCollection 2016 Jun.
5
Right Coronary Artery Septic Embolization Secondary to Aerococcus urinae Native Mitral Valve Endocarditis.因尿液气球菌所致的原发性二尖瓣心内膜炎继发右冠状动脉脓毒性栓塞
Ann Thorac Surg. 2016 Oct;102(4):e295-7. doi: 10.1016/j.athoracsur.2016.02.069.
6
[Vegetations of the mitral valve and the mitral prosthesis in patients with subacute bacterial endocarditis. Echocardiographic diagnosis].[亚急性细菌性心内膜炎患者二尖瓣及二尖瓣人工瓣膜赘生物。超声心动图诊断]
Arch Inst Cardiol Mex. 1977 Sep-Oct;47(5):623-8.
7
Aerococcus christensenii native aortic valve subacute bacterial endocarditis (SBE) presenting as culture negative endocarditis (CNE) mimicking marantic endocarditis. Aerococcus christensenii 引起的自体主动脉瓣亚急性细菌性心内膜炎（SBE）表现为培养阴性的心内膜炎（CNE），类似于恶液质心内膜炎。
Heart Lung. 2014 Mar-Apr;43(2):161-3. doi: 10.1016/j.hrtlng.2013.11.005. Epub 2013 Nov 23.
8
Gemella bergeriae endocarditis diagnosed by sequencing of rRNA genes in heart valve tissue.通过对心脏瓣膜组织中的rRNA基因进行测序诊断出的伯氏孪生球菌心内膜炎。
J Clin Microbiol. 2004 Oct;42(10):4897-900. doi: 10.1128/JCM.42.10.4897-4900.2004.
9
Managing embolic myocardial infarction in infective endocarditis: current options.感染性心内膜炎中栓塞性心肌梗死的管理：当前的选择
J Infect. 2005 Oct;51(3):e101-5. doi: 10.1016/j.jinf.2004.10.006. Epub 2004 Nov 11.
10
Abiotrophia endocarditis in children with no underlying heart disease: a rare but a virulent organism.无潜在心脏病儿童的营养缺陷菌性心内膜炎：一种罕见但具有高致病性的病原体。
Congenit Heart Dis. 2014 Jul-Aug;9(4):E116-20. doi: 10.1111/chd.12095. Epub 2013 May 20.
引用本文的文献
1
Facklamia hominis pyelonephritis in a pediatric patient: first case report and review of the literature.人弗拉克莱姆菌肾盂肾炎在一名儿科患者中的表现：首例病例报告及文献复习。
Ann Clin Microbiol Antimicrob. 2022 Feb 12;21(1):4. doi: 10.1186/s12941-022-00497-4.
2
in hidradenitis suppurativa.在化脓性汗腺炎中。
JAAD Case Rep. 2021 Mar 13;11:20-22. doi: 10.1016/j.jdcr.2021.03.017. eCollection 2021 May.
3
Facklamia hominis bacteremia after transurethral resection of the prostate: a case report.人福克勒姆菌菌血症经尿道前列腺切除术：病例报告。
BMC Urol. 2020 Dec 7;20(1):192. doi: 10.1186/s12894-020-00762-8.
4
Species as an Underrecognized Pathogen.作为一种未被充分认识的病原体的物种。
Open Forum Infect Dis. 2017 Jan 9;4(1):ofw272. doi: 10.1093/ofid/ofw272. eCollection 2017 Winter.
5
Facklamia hominis scapula abscess, Marseille, France.人源法氏菌肩胛脓肿，法国马赛
New Microbes New Infect. 2015 Nov 14;9:13-4. doi: 10.1016/j.nmni.2015.11.003. eCollection 2016 Jan.
6
Infective endocarditis: a rare organism in an uncommon setting.感染性心内膜炎：在不常见情况下的罕见病原体。
Case Rep Infect Dis. 2012;2012:307852. doi: 10.1155/2012/307852. Epub 2012 Dec 24.
本文引用的文献
1
Impact of cerebrovascular complications on mortality and neurologic outcome during infective endocarditis: a prospective multicentre study.感染性心内膜炎期间脑血管并发症对死亡率和神经学转归的影响：一项前瞻性多中心研究
Eur Heart J. 2007 May;28(9):1155-61. doi: 10.1093/eurheartj/ehm005. Epub 2007 Mar 15.
2
The role of 16S rRNA gene sequencing in identification of microorganisms misidentified by conventional methods.16S rRNA基因测序在鉴定被传统方法误鉴定的微生物中的作用。
J Clin Microbiol. 2005 Dec;43(12):6123-5. doi: 10.1128/JCM.43.12.6123-6125.2005.
3
Neurologic manifestations of infective endocarditis: a 17-year experience in a teaching hospital in Finland.感染性心内膜炎的神经系统表现：芬兰一家教学医院17年的经验
Arch Intern Med. 2000 Oct 9;160(18):2781-7. doi: 10.1001/archinte.160.18.2781.
4
Antimicrobial susceptibilities and clinical sources of Facklamia species.法克勒菌属的抗菌药敏性及临床来源
Antimicrob Agents Chemother. 2000 Aug;44(8):2130-2. doi: 10.1128/AAC.44.8.2130-2132.2000.
5
Phenotypic and phylogenetic characterization of some Globicatella-like organisms from human sources: description of Facklamia hominis gen. nov., sp. nov.来自人类样本的一些球状卡特菌属样微生物的表型和系统发育特征：人源法氏菌属的新属名和新种的描述
Int J Syst Bacteriol. 1997 Jul;47(3):880-2. doi: 10.1099/00207713-47-3-880.
6
New criteria for diagnosis of infective endocarditis: utilization of specific echocardiographic findings. Duke Endocarditis Service.感染性心内膜炎诊断的新标准：特定超声心动图检查结果的应用。杜克心内膜炎诊疗中心
Am J Med. 1994 Mar;96(3):200-9. doi: 10.1016/0002-9343(94)90143-0.
7
The "incubation period" of subacute bacterial endocarditis.亚急性细菌性心内膜炎的“潜伏期”。
Yale J Biol Med. 1977 Jan-Feb;50(1):49-58.
Zotero 插件