由罕见病原体 Lichtheimia 引起的主动脉心室分离和难治性真菌性心内膜炎：一种手术和药物治疗策略
Aortoventricular Dissociation and Refractory Fungal Endocarditis Caused by a Rare Pathogen Lichtheimia: A Surgical and Medical Management Strategy.
作者信息
Terrien Christopher M, Edwards Niloo M
机构信息
Albany Cardiothoracic Surgeons, PC, St. Peters Hospital, Albany, New York.
Albany Cardiothoracic Surgeons, PC, St. Peters Hospital, Albany, New York.
出版信息
Ann Thorac Surg. 2017 Jan;103(1):e25-e27. doi: 10.1016/j.athoracsur.2016.06.036.
We report a rare case of prosthetic valve fungal endocarditis caused by Lichtheimia, a subspecies of the order Mucorales. The patient experienced complicated prosthetic valve endocarditis less than 2 months after uneventful coronary artery bypass grafting (CABG) and 2 aortic valve replacements. Ultimately surgical management required aortic root replacement and lifelong antimicrobial agents. We believe this is the first case of fungal endocarditis caused by Lichtheimia.
我们报告了一例罕见的由毛霉目下属的犁头霉属引起的人工瓣膜真菌性心内膜炎病例。该患者在顺利进行冠状动脉旁路移植术（CABG）及两次主动脉瓣置换术后不到2个月就发生了复杂的人工瓣膜心内膜炎。最终，手术治疗需要进行主动脉根部置换及终身使用抗菌药物。我们认为这是首例由犁头霉属引起的真菌性心内膜炎病例。
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