Valencia Damian, Valencia Victor, Fershko Adam
Department of Medicine, Kettering Medical Center, Kettering, OH, USA.
Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
J Cardiol Cases. 2018 May 9;18(1):37-41. doi: 10.1016/j.jccase.2018.04.002. eCollection 2018 Jul.
Infective endocarditis is a potentially lethal infection, which predominantly affects the atrioventricular valves. Rapid identification and management is critical to reduce morbidity and mortality in this patient population. Herein, we present a case of a 24-year-old man with species infective endocarditis of the aortic valve. Disease course was complicated by several septic emboli to the brain, central retinal artery, and spleen. This case serves to remind clinicians that species, which are typically not pathogenic to human species, can cause infective endocarditis in individuals with a history of intravenous drug use. < It is crucial that clinicians maintain a high index of suspicion in high-risk patients for infective endocarditis with species, especially in the setting of positive blood cultures with group viridans streptococcus resistant to penicillin. Although cases of penicillin resistant group viridans streptococci have been reported, it is not common and merits further review. is a Gram-positive ovoid cocci that is intrinsically vancomycin-resistant and is typically non-pathogenic to the human species.>.
感染性心内膜炎是一种潜在的致命感染，主要影响房室瓣。快速识别和处理对于降低该患者群体的发病率和死亡率至关重要。在此，我们报告一例24岁男性主动脉瓣 种感染性心内膜炎病例。病程因多次发生脑、视网膜中央动脉和脾脏的脓毒性栓子而复杂化。该病例提醒临床医生，通常对人类无致病性的 种可在有静脉药物使用史的个体中引起感染性心内膜炎。临床医生对有 种感染性心内膜炎高风险患者保持高度怀疑至关重要，尤其是在血培养为对青霉素耐药的草绿色链球菌属阳性的情况下。虽然已报道对青霉素耐药的草绿色链球菌属病例，但并不常见，值得进一步研究。 是一种革兰氏阳性卵形球菌，固有耐万古霉素性，通常对人类无致病性。
