Hussain Aneela, Nasir Nosheen, Jamil Bushra
Section of Adult Infectious Diseases, Department of Medicine, Aga Khan University, Karachi, Pakistan.
J Ayub Med Coll Abbottabad. 2016 Oct-Dec;28(4):824-825.
We present the case of a gentleman who was being evaluated for restrictive lung disease and was incidentally found to have mitral valve stenosis on an HRCT. During the surgical procedure for valve replacement, he was found to have an abscess around the native mitral valve which was drained. Pus from the abscess as well as the valve tissue grew Propionibacterium acnes after holding the cultures long. The patient was treated with IV ceftriaxone with good response to therapy. While Propionibacterium acnes is known to cause prosthetic valve infections there are rare case reports with native valves. This is the first case to be reported from our country.
我们报告一例男士病例，该男士因限制性肺疾病接受评估，在高分辨率CT检查时偶然发现患有二尖瓣狭窄。在进行瓣膜置换手术过程中，发现其原生二尖瓣周围有一个脓肿，遂进行了引流。培养较长时间后，脓肿的脓性分泌物以及瓣膜组织培养出痤疮丙酸杆菌。该患者接受了静脉注射头孢曲松治疗，治疗反应良好。虽然已知痤疮丙酸杆菌可导致人工瓣膜感染，但累及原生瓣膜的病例报告很少。这是我国报告的首例此类病例。
