Department of Anesthesiology and Critical Care, George Washington University Medical Center, Washington DC, USA.
Balkan Med J. 2012 Jun;29(2):201-2. doi: 10.5152/balkanmedj.2012.017. Epub 2012 Jun 1.
We describe the first reported case of Escherichia coli endocarditis following a hemorrhoidectomy that was performed by the patient's herbalist. With increasing frequency, patients are seeking care by those who practice alternative medicine. Physicians must become more aware of the impact and possible complications related to this practice. Prosthetic valve endocarditis ranges up to 1.5% per patient-year for mechanical mitral valves and up to 0.1% per patient-year for other valves. Although the incidence of aortic prosthetic valve endocarditis is not uncommon, the concomitant organism and its mode of bacteremia make this a most unusual case. There is a paucity of information in the literature regarding surgical complications performed by alternative medicine practitioners. To our knowledge, a case of gram-negative endocarditis as a result of hemorrhoidectomy performed by an herbalist has never been reported.
我们描述了首例由患者的草药医生进行痔切除术导致的大肠杆菌心内膜炎病例。随着寻求另类医学治疗的患者越来越多，医生必须更加意识到这种治疗方式的影响和可能的并发症。对于机械二尖瓣，每年每患者因感染性心内膜炎的发生率高达 1.5%，而其他瓣膜则高达 0.1%。虽然主动脉瓣假体感染性心内膜炎的发生率并不罕见，但该病例同时存在的病原体及其菌血症方式使其变得极为特殊。关于另类医学从业者进行的手术并发症，文献中信息匮乏。据我们所知，从未有过因草药医生进行痔切除术而导致革兰氏阴性心内膜炎的病例报告。
