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成功治疗由流产布鲁氏菌引起的人工二尖瓣心内膜炎

Successful Medical Treatment of Prosthetic Mitral Valve Endocarditis Caused by Brucella abortus.

作者信息

Lee Seung-Ah, Kim Kyung-Hee, Shin Hyo-Sun, Lee Hee-Sun, Choi Hong-Mi, Kim Hyung-Kwan

机构信息

Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.

出版信息

Korean Circ J. 2014 Nov;44(6):441-3. doi: 10.4070/kcj.2014.44.6.441. Epub 2014 Nov 25.

DOI:10.4070/kcj.2014.44.6.441
PMID:25469149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4248619/
Abstract

Although Brucella endocarditis is a rare complication of human brucellosis, it is the main cause of the mortality in this disease. Traditionally, the therapeutic approach to endocarditis caused by Brucella species requires a combination of antimicrobial therapy and valve replacement surgery. In the literature, only a few cases of mitral prosthetic valve endocarditis caused by Brucella species have been successfully treated without reoperation. We present a case of a 42-year-old man with a prosthetic mitral valve infected by Brucella abortus who was cured solely by medical treatment.

摘要

尽管布鲁氏菌性心内膜炎是人类布鲁氏菌病的一种罕见并发症，但却是该疾病死亡的主要原因。传统上，针对布鲁氏菌属引起的心内膜炎的治疗方法需要抗菌治疗与瓣膜置换手术相结合。在文献中，仅有少数几例由布鲁氏菌属引起的人工二尖瓣心内膜炎患者在未进行再次手术的情况下得到成功治疗。我们报告一例42岁男性患者，其人工二尖瓣被流产布鲁氏菌感染，仅通过药物治疗即获治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3185/4248619/0dc0428c988d/kcj-44-441-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3185/4248619/a74d71e19587/kcj-44-441-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3185/4248619/0dc0428c988d/kcj-44-441-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3185/4248619/a74d71e19587/kcj-44-441-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3185/4248619/0dc0428c988d/kcj-44-441-g002.jpg

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J Saudi Heart Assoc. 2021 Aug 9;33(3):198-212. doi: 10.37616/2212-5043.1257. eCollection 2021.
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Brucella Endocarditis of the Native Mitral Valve Treated With Antibiotics.抗生素治疗的原发性二尖瓣布鲁氏菌性心内膜炎
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Successful Management of Prosthetic Valve Endocarditis with Antibiotherapy Alone.单纯抗生素治疗成功管理人工瓣膜心内膜炎
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