惰性营养菌心内膜炎
Abiotrophia defectiva endocarditis.
作者信息
Pinkney Jodian Amor, Nagassar Rajeev Peeyush, Roye-Green Karen Judith, Ferguson Trevor
机构信息
Department of Medicine, University Hospital of the West Indies, Kingston, Jamaica.
Department of Microbiology, The Eastern Regional Health Authority, Sangre Grande, Trinidad and Tobago.
出版信息
BMJ Case Rep. 2014 Dec 17;2014:bcr2014207361. doi: 10.1136/bcr-2014-207361.
Abstract
A previously healthy 27-year-old Jamaican man presented to the University Hospital of the West Indies with recurrent joint pain, remitting and relapsing fever, and shortness of breath. He was subsequently found to have Abiotrophia defectiva endocarditis. This was the first time this organism had been isolated at our institution. Despite culture directed antibiotics, his clinical course was quite severe with mitral regurgitation and congestive cardiac failure requiring mitral valve replacement. He recovered well postoperatively and is currently being followed at our outpatient cardiology clinic. This report highlights the severe presentation and often poor outcome associated with A. defectiva endocarditis and stresses that the outcome may be improved by early and appropriate surgical intervention.
摘要
一名既往健康的27岁牙买加男子因反复关节疼痛、弛张热和呼吸急促就诊于西印度群岛大学医院。随后发现他患有缺陷嗜养菌心内膜炎。这是该微生物首次在我们机构分离出来。尽管使用了针对培养结果的抗生素，但他的临床病程仍很严重，出现二尖瓣反流和充血性心力衰竭，需要进行二尖瓣置换术。他术后恢复良好，目前在我们的门诊心脏病诊所接受随访。本报告强调了缺陷嗜养菌心内膜炎的严重临床表现及通常较差的预后，并强调早期和适当的手术干预可能改善预后。
相似文献
1
Abiotrophia defectiva endocarditis.惰性营养菌心内膜炎
BMJ Case Rep. 2014 Dec 17;2014:bcr2014207361. doi: 10.1136/bcr-2014-207361.
2
Destructive Abiotrophia defectiva endocarditis.破坏性殊异韦荣球菌心内膜炎
J Heart Valve Dis. 2011 Jan;20(1):111-2.
3
Mitral valve endocarditis due to Abiotrophia defectiva in a 14th week pregnant woman.一名孕14周妇女因缺陷嗜养菌引起二尖瓣心内膜炎。
Interact Cardiovasc Thorac Surg. 2016 Jan;22(1):112-4. doi: 10.1093/icvts/ivv289. Epub 2015 Oct 20.
4
[Abiotrophia defectiva: an unusual cause of endocarditis].[变异乏养菌：心内膜炎的罕见病因]
Rev Med Suisse. 2016 Jun 22;12(524):1242-4.
5
Infective endocarditis - A word of caution on non-typical bacteria.感染性心内膜炎——关于非典型细菌的一则警示
Eur Rev Med Pharmacol Sci. 2016 Nov;20(22):4782-4785.
6
Double-Valve Heart Disease and Glomerulonephritis Consequent to Abiotrophia defectiva Endocarditis.因缺陷嗜养菌心内膜炎导致的双瓣膜心脏病和肾小球肾炎
Tex Heart Inst J. 2020 Feb 1;47(1):35-37. doi: 10.14503/THIJ-17-6575. eCollection 2020 Feb.
7
Abiotrophia defectiva endocarditis and associated hemophagocytic syndrome--a first case report and review of the literature.营养缺陷型心内膜炎及相关噬血细胞综合征——首例病例报告及文献综述
Int J Infect Dis. 2008 Sep;12(5):478-82. doi: 10.1016/j.ijid.2008.01.014. Epub 2008 Jun 9.
8
Quadruple-valve infective endocarditis caused by Abiotrophia defectiva.由缺陷嗜氨基酸菌引起的四瓣膜感染性心内膜炎。
Interact Cardiovasc Thorac Surg. 2017 Dec 1;25(6):998-999. doi: 10.1093/icvts/ivx200.
9
Abiotrophia defectiva as a cause of infective endocarditis with embolic complications in children.缺陷拟杆菌致儿童感染性心内膜炎合并栓塞并发症。
Infection. 2020 Oct;48(5):783-790. doi: 10.1007/s15010-020-01454-z. Epub 2020 May 30.
10
Bacterial endocarditis caused by abiotrophia defectiva (nutritionally variant streptococci).由缺陷嗜养菌（营养变异型链球菌）引起的细菌性心内膜炎。
Indian Heart J. 2000 Sep-Oct;52(5):594-6.
引用本文的文献
1
Non-aneurysmal subarachnoid hemorrhage in a 13-year-old male with infective endocarditis caused by : a case report and literature review.一名13岁男性感染性心内膜炎所致非动脉瘤性蛛网膜下腔出血：病例报告及文献综述
Front Pediatr. 2025 Jul 22;13:1625229. doi: 10.3389/fped.2025.1625229. eCollection 2025.
2
A Rare Cause of Infection Following Total Knee Arthroplasty: Abiotrophia defectiva Linked to Recurrent Urinary Tract Infections.全膝关节置换术后感染的罕见原因：与复发性尿路感染相关的缺陷乏养菌。
Cureus. 2025 Mar 12;17(3):e80460. doi: 10.7759/cureus.80460. eCollection 2025 Mar.
3
causing infective endocarditis with brain infarction and subarachnoid hemorrhage: a case report.导致感染性心内膜炎伴脑梗死和蛛网膜下腔出血：一例报告
Front Med (Lausanne). 2023 May 3;10:1117474. doi: 10.3389/fmed.2023.1117474. eCollection 2023.
4
A Common Defect With a Not So Common Complication: Endocarditis in a Child With Unrepaired Ventricular Septal Defect.一种常见缺陷伴不常见并发症：未修复室间隔缺损患儿的心内膜炎。
CASE (Phila). 2022 Oct 20;6(10):454-457. doi: 10.1016/j.case.2022.08.005. eCollection 2022 Dec.
5
A rare association of invasive infective endocarditis due to Abiotrophia defectiva with ventricular septal defect and recurrent Henoch-Schonlein purpura in a child.缺陷嗜琼脂菌致侵袭性感染性心内膜炎合并室间隔缺损和儿童复发性过敏性紫癜：一种罕见的关联。
J Cardiothorac Surg. 2022 Dec 17;17(1):320. doi: 10.1186/s13019-022-02092-2.
6
endocarditis of bicuspid aortic valve: a case report.二叶式主动脉瓣心内膜炎：一例报告
Eur Heart J Case Rep. 2022 Sep 23;6(10):ytac394. doi: 10.1093/ehjcr/ytac394. eCollection 2022 Oct.
7
Pyridoxine-Deficient Streptococcus: An Uncommon Virulent Cause of Subacute Destructive Aortic Valve Endocarditis.维生素B6缺乏的链球菌：亚急性破坏性主动脉瓣心内膜炎一种罕见的致病因素
Cureus. 2022 Mar 8;14(3):e22951. doi: 10.7759/cureus.22951. eCollection 2022 Mar.
8
Frenemies within: An Endocarditis Case in Behçet's Disease.体内的“亦敌亦友”：白塞病相关的心内膜炎病例
J Pers Med. 2021 Jul 27;11(8):728. doi: 10.3390/jpm11080728.
9
Development of High-Level Daptomycin Resistance in and Species Isolates from Patients with Infective Endocarditis.患者感染性心内膜炎中 及 种属分离株高水平达托霉素耐药的产生。
Antimicrob Agents Chemother. 2021 Sep 17;65(10):e0252220. doi: 10.1128/AAC.02522-20. Epub 2021 Jul 12.
10
Infective endocarditis by a rare and fastidious agent: .感染性心内膜炎由罕见而难以培养的病原体引起： 。
BMJ Case Rep. 2021 Jun 21;14(6):e241964. doi: 10.1136/bcr-2021-241964.
本文引用的文献
1
A case report and literature overview: Abiotrophia defectiva aortic valve endocarditis in developing countries.病例报告与文献综述：发展中国家的缺陷乏养菌性主动脉瓣心内膜炎
Infection. 2014 Jun;42(3):579-84. doi: 10.1007/s15010-014-0595-3. Epub 2014 Feb 8.
2
Endocarditis caused by nutritionally variant streptococci: a case report and literature review.营养变异链球菌引起的心内膜炎：一例病例报告及文献综述
Infez Med. 2012 Jun;20(2):67-74.
3
Early surgery versus conventional treatment for infective endocarditis.早期手术与常规治疗感染性心内膜炎的比较。
N Engl J Med. 2012 Jun 28;366(26):2466-73. doi: 10.1056/NEJMoa1112843.
4
Endocarditis caused by Abiotrophia defectiva.缺陷嗜琼脂菌引起的心内膜炎。
Libyan J Med. 2007 Mar 1;2(1):43-5. doi: 10.4176/061223.
5
Using MALDI-TOF mass spectrometry as a rapid and accurate diagnostic tool in infective endocarditis: a case report of a patient with mitral valve infective endocarditis caused by Abiotrophia defectiva.使用基质辅助激光解吸电离飞行时间质谱作为感染性心内膜炎的快速准确诊断工具：1例由缺陷嗜氨基酸菌引起的二尖瓣感染性心内膜炎病例报告
Scand J Infect Dis. 2011 Mar;43(3):234-7. doi: 10.3109/00365548.2010.535559. Epub 2010 Nov 22.
6
Infective endocarditis with Abiotrophia defectiva: the first Australian experience.缺陷嗜琼脂菌感染性心内膜炎：澳大利亚首例经验。
Crit Care Resusc. 2008 Mar;10(1):54.
7
Infective endocarditis caused by nutritionally variant streptococci.营养变异链球菌引起的感染性心内膜炎。
Am J Med Sci. 2007 Oct;334(4):235-9. doi: 10.1097/MAJ.0b013e3180a6eeab.
8
Bloodstream and endovascular infections due to Abiotrophia defectiva and Granulicatella species.由缺陷乏养菌属和颗粒链菌属引起的血流感染和血管内感染。
BMC Infect Dis. 2006 Jan 20;6:9. doi: 10.1186/1471-2334-6-9.
9
Infective endocarditis: diagnosis, antimicrobial therapy, and management of complications: a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association: endorsed by the Infectious Diseases Society of America.感染性心内膜炎：诊断、抗菌治疗及并发症管理：美国心脏协会风湿热、心内膜炎及川崎病委员会、青年心血管疾病理事会以及临床心脏病学、中风、心血管外科和麻醉理事会为医疗专业人员发布的声明：获美国传染病学会认可
Circulation. 2005 Jun 14;111(23):e394-434. doi: 10.1161/CIRCULATIONAHA.105.165564.
10
Infective endocarditis due to Abiotrophia defectiva: a report of two cases.由缺陷嗜氨基酸菌引起的感染性心内膜炎：两例报告
J Heart Valve Dis. 2005 Jan;14(1):33-6.
Zotero 插件