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心内膜炎:一例病例报告及对一种被低估感染的全面综述

endocarditis: A case report and comprehensive review of an underestimated infection.

作者信息

Rezaei Bookani Kaveh, Marcus Rachel, Cheikh Eyad, Parish Monireh, Salahuddin Usman

机构信息

MedStar Harbor Hospital, 3001 South Hanover St, Baltimore, MD 21225, United States.

Cardiology Department, MedStar Washington Hospital Center, United States.

出版信息

IDCases. 2017 Nov 22;11:26-30. doi: 10.1016/j.idcr.2017.11.004. eCollection 2018.

Abstract

Diphtheroids are gram-positive pleomorphic bacilli in the family of Coryneform bacteria. These organisms are present as part of the human flora. Past practice habits had been to consider them as contaminants when isolated from clinical samples. is one of the most clinically important nondiphtherial Corynebacteria that can cause different forms of infections specifically in patients with underlying risk factors and co-morbidities including immunocompromised subjects. Through this article, we present a 67-year-old gentleman with extensive co-morbidities including heart failure with reduced ejection fraction and ESRD on hemodialysis through a femoral catheter who presented with chest pain and fatigue. Further investigation confirmed diagnosis of . endocarditis. We go on to review previously reported cases of endocarditis and we will discuss different aspects of infection with a focus on microbiology, pathophysiology, and treatment.

摘要

类白喉杆菌是棒状杆菌科中的革兰氏阳性多形性杆菌。这些微生物是人体菌群的一部分。过去的实践习惯是,当从临床样本中分离出它们时,将其视为污染物。[具体细菌名称未给出]是临床上最重要的非白喉棒状杆菌之一,可导致不同形式的感染,特别是在有潜在危险因素和合并症的患者中,包括免疫功能低下的受试者。通过本文,我们介绍一位67岁的男性,他有广泛的合并症,包括射血分数降低的心力衰竭和通过股静脉导管进行血液透析的终末期肾病,他出现了胸痛和疲劳症状。进一步检查确诊为[具体细菌名称未给出]心内膜炎。我们接着回顾先前报道的[具体细菌名称未给出]心内膜炎病例,并将讨论[具体细菌名称未给出]感染的不同方面,重点是微生物学、病理生理学和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f024/5881414/5fd9ea339605/gr1.jpg

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