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一名血液透析患者因亚种感染导致的感染性心内膜炎合并链球菌中毒性休克综合征

Infective Endocarditis Associated with Streptococcal Toxic Shock Syndrome due to subsp. Infection in a Hemodialysis Patient.

作者信息

Kan Momoko, Mori Yasukiyo, Kishimoto Nao, Shibutani Hiroki, Tomita Yuno, Hagino Tomoko, Ohira Eiko, Karakawa Masahiro

机构信息

Division of Nephrology, Osaka Saiseikai Izuo Hospital, Osaka, Japan.

Division of Cardiology, Osaka Saiseikai Izuo Hospital, Osaka, Japan.

出版信息

Case Rep Nephrol Dial. 2017 Nov 29;7(3):154-160. doi: 10.1159/000481726. eCollection 2017 Sep-Dec.

Abstract

The risk of infective endocarditis in chronic hemodialysis patients is markedly higher than that in the general population. We report the first case of a hemodialysis patient with infective endocarditis caused by subsp. (SDSE) who presented with streptococcal toxic shock syndrome. In the last decade, there has been an increase in the incidence of SDSE infections. Therefore, it is important to recognize SDSE as a possible causative agent of infective endocarditis in an immunocompromised population, such as hemodialysis patients.

摘要

慢性血液透析患者发生感染性心内膜炎的风险明显高于普通人群。我们报告了首例由 亚种(无乳链球菌)引起感染性心内膜炎的血液透析患者,该患者表现为链球菌中毒性休克综合征。在过去十年中,无乳链球菌感染的发病率有所增加。因此,认识到无乳链球菌是免疫功能低下人群(如血液透析患者)感染性心内膜炎的可能病原体很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be3a/5803677/e5b36eccdb31/cnd-0007-0154-g01.jpg

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