未报告的伯杰孪生球菌感染性心内膜炎的神经系统并发症。
Unreported neurological complications of Gemella bergeriae infective endocarditis.
作者信息
Hussain Kosar, Abubaker Jawed, Al Deesi Zulfa Omar, Ahmed Raees
机构信息
Department of Internal Medicine, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
Department of Medical Intensive Care Unit, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
出版信息
BMJ Case Rep. 2014 Jun 4;2014:bcr2014204405. doi: 10.1136/bcr-2014-204405.
Abstract
We report the first case of native aortic and mitral valve endocarditis due to Gemella bergeriae from the Middle East in a young patient with rheumatic heart disease. Our case illustrates a fulminant course of infection with G. bergeriae endocarditis that was complicated by embolic stroke, as well as intracerebral and subarachnoid haemorrhage secondary to rupture of a mycotic aneurysm in the right middle cerebral artery. This case highlights the dire, unreported neurological complications of infective endocarditis due to a rare causative organism-G. bergeriae.
摘要
我们报告了中东地区首例由伯氏孪生球菌引起的天然主动脉瓣和二尖瓣心内膜炎病例，患者为一名患有风湿性心脏病的年轻患者。我们的病例显示了伯氏孪生球菌心内膜炎感染的暴发性病程，该病程并发了栓塞性中风，以及因右大脑中动脉霉菌性动脉瘤破裂继发的脑内和蛛网膜下腔出血。该病例突出了由一种罕见病原体——伯氏孪生球菌引起的感染性心内膜炎严重且未被报道的神经系统并发症。
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