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静脉药物使用者中由纤维单胞菌属引起的感染性心内膜炎：病例报告。

Infective endocarditis caused by Cellulomonas spp. in an intravenous drug user: case report.

机构信息

Department of Infectious Diseases, University Medical Center Ljubljana, Japljeva 2, 1000, Ljubljana, Slovenia.

出版信息

Wien Klin Wochenschr. 2013 Jun;125(11-12):334-6. doi: 10.1007/s00508-013-0367-6. Epub 2013 May 8.

DOI:10.1007/s00508-013-0367-6
PMID:23653152
Abstract

Cellulomonas spp. are often believed to be of low virulence. There are only a few reports of human infections. We report the first case of endocarditis caused by Cellulomonas in an intravenous drug abuser. The diagnosis of infective endocarditis (IE) in this case was definite using the Duke criteria. The course of the disease was complicated with a heart failure and possible mycotic aneurysm in the left leg. After the end of antimicrobial therapy aortic valve replacement was done because of severe heart failure.

摘要

纤维单胞菌属通常被认为毒力较低。仅有少数几例人类感染的报告。我们报告了首例静脉药物滥用者由纤维单胞菌引起的心内膜炎。根据 Duke 标准，该病例的感染性心内膜炎（IE）诊断明确。疾病过程复杂，并发心力衰竭和左下肢可能的真菌性动脉瘤。由于严重心力衰竭，在抗菌治疗结束后进行了主动脉瓣置换术。

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本文引用的文献

1
Association between valvular surgery and mortality among patients with infective endocarditis complicated by heart failure.感染性心内膜炎合并心力衰竭患者行瓣膜手术后的死亡率。
JAMA. 2011 Nov 23;306(20):2239-47. doi: 10.1001/jama.2011.1701.
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Permanent pacemaker implantation after isolated aortic valve replacement: incidence, risk factors and surgical technical aspects.孤立性主动脉瓣置换术后永久起搏器植入：发生率、危险因素和手术技术方面。
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Infective endocarditis and osteomyelitis caused by Cellulomonas: a case report and review of the literature.
纤维单胞菌引起的感染性心内膜炎和骨髓炎：一例报告并文献复习
Diagn Microbiol Infect Dis. 2009 Oct;65(2):184-7. doi: 10.1016/j.diagmicrobio.2009.06.001.
4
First report of acute cholecystitis with sepsis caused by Cellulomonas denverensis.丹佛游动单胞菌致急性胆囊炎伴败血症 1 例报告
J Clin Microbiol. 2009 Oct;47(10):3391-3. doi: 10.1128/JCM.00678-09. Epub 2009 Aug 5.
5
2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons.2008年重点更新内容纳入《美国心脏病学会/美国心脏协会2006年瓣膜性心脏病患者管理指南》：美国心脏病学会/美国心脏协会实践指南工作组（修订1998年瓣膜性心脏病患者管理指南的写作委员会）报告。得到心血管麻醉医师协会、心血管造影和介入学会以及胸外科医师协会认可。
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Endocapsular cellulomonas as a cause of persistent postoperative endophthalmitis.囊内纤维单胞菌作为术后持续性眼内炎的一个病因
Ophthalmic Surg Lasers Imaging. 2008 Jul-Aug;39(4):328-30. doi: 10.3928/15428877-20080701-16.
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Int J Syst Evol Microbiol. 2008 Aug;58(Pt 8):1878-84. doi: 10.1099/ijs.0.64768-0.
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J Heart Valve Dis. 2006 Jan;15(1):125-31.
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Cellulomonas terrae sp. nov., a cellulolytic and xylanolytic bacterium isolated from soil.土栖纤维单胞菌新种，一种从土壤中分离出的具有纤维素分解和木聚糖分解能力的细菌。
Int J Syst Evol Microbiol. 2005 Jul;55(Pt 4):1705-1709. doi: 10.1099/ijs.0.63696-0.
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Current best practices and guidelines. Indications for surgical intervention in infective endocarditis.当前最佳实践与指南。感染性心内膜炎的手术干预指征。
Cardiol Clin. 2003 May;21(2):235-51, vii. doi: 10.1016/s0733-8651(03)00029-8.