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生物人工二尖瓣心内膜炎罕见病例。

Rare case of bioprosthetic mitral valve endocarditis.

作者信息

Halas Ryan, Jacob Chris, Badwal Karun, Mir Rafi

机构信息

Western Michigan University Homer Stryker M.D. School of Medicine, United States.

Western Michigan Homer Stryker MD School of Medicine, United States.

出版信息

IDCases. 2017 Sep 20;10:88-90. doi: 10.1016/j.idcr.2017.08.008. eCollection 2017.

DOI:10.1016/j.idcr.2017.08.008
PMID:29034174
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5635237/
Abstract

is an aerobic, gram negative, rod-shaped, bacterium typically found in the soil. Commonly a plant pathogen, it is also a rare human pathogen causing serious disease. Risk factors for infection include neutropenia, leukopenia, catheters, hospitalization, and low CD4+ lymphocyte count, especially in patients with malignancy or human immunodeficiency virus. There is currently limited literature to establish a definitive guideline for antimicrobial therapy and obtaining susceptibilities from a specialized laboratory is appropriate. We present a successfully treated case of bioprosthetic mitral valve endocarditis in a patient with previous endocarditis.

摘要

是一种需氧的革兰氏阴性杆菌，呈杆状，通常存在于土壤中。它通常是一种植物病原体，也是一种罕见的可导致严重疾病的人类病原体。感染的危险因素包括中性粒细胞减少、白细胞减少、导管、住院治疗以及低CD4 +淋巴细胞计数，尤其是在患有恶性肿瘤或人类免疫缺陷病毒的患者中。目前关于制定抗菌治疗明确指南的文献有限，从专业实验室获取药敏结果是合适的。我们报告了一例曾患心内膜炎的患者成功治疗生物人工二尖瓣心内膜炎的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/432d/5635237/c44945c7e31d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/432d/5635237/9e60e43e3633/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/432d/5635237/c44945c7e31d/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/432d/5635237/9e60e43e3633/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/432d/5635237/c44945c7e31d/gr2.jpg

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本文引用的文献

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Rhizobium radiobacter Endocarditis in an Intravenous Drug User: Clinical Presentation, Diagnosis, and Treatment.一名静脉吸毒者患放射型根瘤菌性心内膜炎：临床表现、诊断与治疗
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2
Treatment of Rhizobium radiobacter bacteremia in a critically ill trauma patient.治疗创伤危重症患者的放射土壤杆菌菌血症。
Ann Pharmacother. 2013 Nov;47(11):1584-7. doi: 10.1177/1060028013500942. Epub 2013 Nov 4.
3
[Infective endocarditis by Rhizobium radiobacter. A case report].
Medicine (Baltimore). 2019 Dec;98(49):e18267. doi: 10.1097/MD.0000000000018267.
[放射性根瘤菌引起的感染性心内膜炎。病例报告]
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Catheter associated bloodstream infection caused by R. radiobacter.由放射根瘤菌引起的导管相关血流感染。
Indian J Med Microbiol. 2010 Jan-Mar;28(1):62-4. doi: 10.4103/0255-0857.58734.
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Clinical and microbiological characteristics of Rhizobium radiobacter infections.放射根瘤菌感染的临床和微生物学特征
Clin Infect Dis. 2004 Jan 1;38(1):149-53. doi: 10.1086/380463. Epub 2003 Dec 4.
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