Taboada M, Barbeito-Castiñeiras G, Almeida X, Caruezo V, Cereijo J, Naveira A
Unidad de Cuidados Críticos Postoperatorios, Servicio de Anestesiología y Reanimación, Hospital Clínico Universitario, Santiago de Compostela, A Coruña, España.
Servicio de Microbiología, Hospital Clínico Universitario, Santiago de Compostela, A Coruña, España.
Rev Esp Anestesiol Reanim (Engl Ed). 2019 Nov;66(9):487-489. doi: 10.1016/j.redar.2019.06.003. Epub 2019 Jul 25.
We report a case of Pseudomonas monteilii and Acinetobacter nosocomialis endocarditis with a fatal outcome in a patient with a recent history of prosthetic aortic valve replacement. Transesophageal echocardiography and computed tomography confirmed the presence of vegetation on the prosthetic valve and aortic pseudoaneurism with an aortic root abscess. Valve cultures yielded P.monteilii and A.nosocomialis. The patient underwent surgery and received antibiotics, but his condition deteriorated and he died 44days after surgery. To our knowledge, this is the first case of P.monteilii and A.nosocomialis endocarditis reported in the literature. These organisms have been described as environmental contaminants; however, they must be considered potential pathogens, particularly in patients with prosthetic valves.
我们报告一例蒙氏假单胞菌和医院不动杆菌引起的心内膜炎，该患者近期有主动脉人工瓣膜置换史，最终死亡。经食管超声心动图和计算机断层扫描证实人工瓣膜上有赘生物，存在主动脉假性动脉瘤并伴有主动脉根部脓肿。瓣膜培养分离出蒙氏假单胞菌和医院不动杆菌。患者接受了手术并使用了抗生素，但病情恶化，术后44天死亡。据我们所知，这是文献中报道的首例蒙氏假单胞菌和医院不动杆菌引起的心内膜炎。这些微生物一直被认为是环境污染物；然而，它们必须被视为潜在病原体，尤其是在有人工瓣膜的患者中。
