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感染性心内膜炎并发肥厚型梗阻性心肌病:抗生素预防真的不必要吗?

Infective endocarditis complicating hypertrophic obstructive cardiomyopathy: is antibiotic prophylaxis really unnecessary?

作者信息

Guler Ahmet, Aung Soe M, Cakal Beytullah, Karabay Can Y, Guler Yeliz, Kirma Cevat

机构信息

Kosuyolu Heart & Research Hospital, Cardiology Clinic, Istanbul-TR.

出版信息

Curr Cardiol Rev. 2013 Nov;9(4):308-9. doi: 10.2174/1573403x09666131202142312.

DOI:10.2174/1573403x09666131202142312
PMID:24313642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3941094/
Abstract

Infective endocarditis is a relatively rare complication of hypertrophic cardiomyopathy. Infective endocarditis in hypertrophic cardiomyopathy is almost always seen in patients with outflow obstruction and is more common in those with both outflow obstruction and atrial dilatation. We present a case of culture negative mitral valve endocarditis in a previously asymptomatic woman with hypertrophic cardiomyopathy who died in the course of the disease.

摘要

感染性心内膜炎是肥厚型心肌病相对罕见的并发症。肥厚型心肌病患者的感染性心内膜炎几乎总是见于有流出道梗阻的患者,在既有流出道梗阻又有房腔扩大的患者中更为常见。我们报告一例肥厚型心肌病的既往无症状女性患者,其患培养阴性的二尖瓣心内膜炎,并在病程中死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76a/3941094/78a889f08bb3/CCR-9-308_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76a/3941094/046558f3b06b/CCR-9-308_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76a/3941094/78a889f08bb3/CCR-9-308_F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76a/3941094/046558f3b06b/CCR-9-308_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c76a/3941094/78a889f08bb3/CCR-9-308_F2.jpg

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1
Infective endocarditis complicating hypertrophic obstructive cardiomyopathy: is antibiotic prophylaxis really unnecessary?感染性心内膜炎并发肥厚型梗阻性心肌病:抗生素预防真的不必要吗?
Curr Cardiol Rev. 2013 Nov;9(4):308-9. doi: 10.2174/1573403x09666131202142312.
2
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引用本文的文献

1
A rare pediatric case of left ventricular outflow tract infective endocarditis in hypertrophic cardiomyopathy.肥厚型心肌病合并左心室流出道感染性心内膜炎的罕见儿科病例。
JTCVS Tech. 2020 Sep 22;4:281-282. doi: 10.1016/j.xjtc.2020.09.019. eCollection 2020 Dec.

本文引用的文献

1
Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, and Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer.感染性心内膜炎预防、诊断和治疗指南(2009年新版):欧洲心脏病学会(ESC)感染性心内膜炎预防、诊断和治疗特别工作组。得到欧洲临床微生物学和传染病学会(ESCMID)以及国际化疗学会(ISC)感染与癌症分会认可。
Eur Heart J. 2009 Oct;30(19):2369-413. doi: 10.1093/eurheartj/ehp285. Epub 2009 Aug 27.
2
ACC/AHA 2008 guideline update on valvular heart disease: focused update on infective endocarditis: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons.美国心脏病学会/美国心脏协会2008年心脏瓣膜病指南更新:感染性心内膜炎重点更新内容:美国心脏病学会/美国心脏协会实践指南工作组报告:得到心血管麻醉医师学会、心血管造影和介入学会以及胸外科医师学会认可。
Circulation. 2008 Aug 19;118(8):887-96. doi: 10.1161/CIRCULATIONAHA.108.190377. Epub 2008 Jul 28.
3
Mitral valve endocarditis in hypertrophic cardiomyopathy: case report and literature review.肥厚型心肌病合并二尖瓣心内膜炎:病例报告及文献综述
Heart. 2002 Jun;87(6):e8. doi: 10.1136/heart.87.6.e8.
4
Infective endocarditis in hypertrophic cardiomyopathy: prevalence, incidence, and indications for antibiotic prophylaxis.肥厚型心肌病中的感染性心内膜炎:患病率、发病率及抗生素预防指征
Circulation. 1999 Apr 27;99(16):2132-7. doi: 10.1161/01.cir.99.16.2132.
5
Severe mitral or aortic valve regurgitation, or both, requiring valve replacement for infective endocarditis complicating hypertrophic cardiomyopathy.严重二尖瓣或主动脉瓣反流,或两者兼有,因感染性心内膜炎并发肥厚型心肌病而需要进行瓣膜置换。
J Am Coll Cardiol. 1992 Feb;19(2):365-71. doi: 10.1016/0735-1097(92)90493-7.