溶牙放线菌：脓性心包炎的罕见病因
Actinomyces odontolyticus: Rare Etiology for Purulent Pericarditis.
作者信息
Mack Ryan, Slicker Kipp, Ghamande Shekhar, Surani Salim R
机构信息
Department of Internal Medicine, Scott and White Memorial Hospital, 2401 South 31st Street, Temple, TX 76508, USA.
Department of Cardiology, Scott and White Memorial Hospital, 2401 South 31st Street, Temple, TX 76508, USA.
出版信息
Case Rep Med. 2014;2014:734925. doi: 10.1155/2014/734925. Epub 2014 Dec 15.
Purulent pericarditis is one of the most common causes of cardiac tamponade and if left untreated has a mortality of 100%. Staphylococcus aureus and Streptococcus pneumonia have been implicated as the main etiology of purulent pericardial effusion followed by fungi and anaerobic sources. Actinomyces odontolyticus pericardial involvement has been reported in the literature only once. To our knowledge, this is the first fatal case of A. odontolyticus purulent pericarditis in the absence of periodontal disease.
脓性心包炎是心脏压塞最常见的病因之一，若不治疗，死亡率达100%。金黄色葡萄球菌和肺炎链球菌被认为是脓性心包积液的主要病因，其次是真菌和厌氧菌感染。文献中仅报道过1例齿龈放线菌累及心包的病例。据我们所知，这是首例无牙周疾病的齿龈放线菌脓性心包炎致死病例。
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