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首例由甲氧西林敏感金黄色葡萄球菌引起的与主动脉覆膜支架感染相关的化脓性心包炎报告

The First Report of Purulent Pericarditis Associated with Aortic Stent-graft Infection Caused by Methicillin-susceptible Staphylococcus aureus.

作者信息

Yamagami Kan, Tanaka Yoshihiro, Tada Hayato, Fujii Hiroshi, Takamura Masayuki, Kawashiri Masa-Aki

机构信息

Department of Cardiology, Kanazawa University Graduate School of Medicine, Japan.

Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, USA.

出版信息

Intern Med. 2019 Nov 1;58(21):3103-3106. doi: 10.2169/internalmedicine.2994-19. Epub 2019 Jul 10.

DOI:10.2169/internalmedicine.2994-19
PMID:31292391
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6875457/
Abstract

We herein report the first case of purulent pericarditis associated with aortic stent-graft infection in an 80-year-old Japanese man that was caused by methicillin-susceptible Staphylococcus aureus, which appropriate antibiotics failed to treat. The detailed clinical course and autopsy images revealed that purulent pericarditis associated with aortic stent-graft infection caused cardiac tamponade and eventually led to mortality. We therefore suggest that surgical procedures, including drainage, should be introduced for such cases.

摘要

我们在此报告首例80岁日本男性发生的与主动脉覆膜支架感染相关的化脓性心包炎，该感染由对甲氧西林敏感的金黄色葡萄球菌引起，使用适当抗生素治疗无效。详细的临床病程及尸检图像显示，与主动脉覆膜支架感染相关的化脓性心包炎导致了心脏压塞并最终致死。因此，我们建议对此类病例应采用包括引流在内的外科手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe27/6875457/fa6efbf5003b/1349-7235-58-3103-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe27/6875457/38beb005cc23/1349-7235-58-3103-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe27/6875457/8473caa2590c/1349-7235-58-3103-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe27/6875457/fa6efbf5003b/1349-7235-58-3103-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe27/6875457/38beb005cc23/1349-7235-58-3103-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe27/6875457/8473caa2590c/1349-7235-58-3103-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe27/6875457/fa6efbf5003b/1349-7235-58-3103-g003.jpg

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Management of thoracic aortic graft infections.胸主动脉移植物感染的管理
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Purulent pericarditis complicating cardiac tamponade in a uremic patient caused by Staphylococcus aureus.一名尿毒症患者因金黄色葡萄球菌感染并发化脓性心包炎并导致心脏压塞。
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借助急诊科超声诊断的化脓性心包炎继发心脏压塞
Am J Emerg Med. 2017 Aug;35(8):1212.e1-1212.e3. doi: 10.1016/j.ajem.2017.04.068. Epub 2017 Apr 27.
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Gen Thorac Cardiovasc Surg. 2009 May;57(5):250-2. doi: 10.1007/s11748-008-0376-y. Epub 2009 May 15.
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Risk factors for recurrence after Staphylococcus aureus bacteraemia. A retrospective matched case-control study.金黄色葡萄球菌菌血症复发的危险因素。一项回顾性配对病例对照研究。
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