人心杆菌引起的主动脉同种异体移植心内膜炎，并因头孢曲松导致粒细胞缺乏症而复杂化。
Aortic homograft endocarditis caused by Cardiobacterium hominis and complicated by agranulocytosis due to ceftriaxone.
作者信息
Braun Dominique, Horovitz Arthur, Bertea Mihai, Jenni Rolf, Günthard Huldrych F
机构信息
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Zurich, Zurich, Switzerland.
出版信息
BMJ Case Rep. 2010 Nov 26;2010:bcr0420102894. doi: 10.1136/bcr.04.2010.2894.
Abstract
The present report describes a very rare case of an aortic homograft valve endocarditis caused by Cardiobacterium hominis. The case was complicated by an agranulocytosis after 3 weeks of antibiotic treatment induced by ceftriaxone. Alternative oral treatment with ciprofloxacin and rifampicin was successful, no surgical intervention was needed and homograft function could be preserved.
摘要
本报告描述了一例极为罕见的由人心杆菌引起的主动脉同种异体移植瓣膜心内膜炎病例。该病例在使用头孢曲松进行抗生素治疗3周后并发粒细胞缺乏症。改用环丙沙星和利福平进行口服治疗取得成功，无需进行手术干预，同种异体移植瓣膜功能得以保留。
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