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由路邓葡萄球菌引起的肺动脉瓣感染性心内膜炎。

Pulmonic valve infective endocarditis from staph lugdunensis.

作者信息

Iftikhar Syed, Luu Vinh, Truc Teddy, Sabet Amin, Savoj Javad, Biswas Mimi

机构信息

UC Riverside School of Medicine/Riverside Community Hospital Department Internal Medicine, USA.

UC Riverside School of Medicine/Riverside Community Hospital Department of Cardiology, USA.

出版信息

Respir Med Case Rep. 2019 Jul 22;28:100914. doi: 10.1016/j.rmcr.2019.100914. eCollection 2019.

Abstract

Pulmonic valve endocarditis is an extremely rare entity. Only 1.1% of all cases of all infective endocarditis affect the pulmonic valve. Furthermore, it is even more uncommon for such a disease process to occur in a young and healthy individual without risk factors. It takes a unique case of circumstances to have pulmonic valve infective endocarditis to occur. Staph lugdunensis is one uncommonly isolated organism that has the ability to cause infective endocarditis in various atypical manifestations. Here we describe a case of a 20-year-old male who did not possess any of the common risk factors of infective endocarditis, who developed isolated pulmonic valve endocarditis caused by Staphylococcus lugdunensis (S. lugdunensis). Based upon our literature review, only 1 other case of S. lugdunensis endocarditis affective the pulmonic valve has been reported.

摘要

肺动脉瓣心内膜炎是一种极其罕见的病症。在所有感染性心内膜炎病例中,仅有1.1%累及肺动脉瓣。此外,在没有危险因素的年轻健康个体中发生这种疾病过程更为罕见。肺动脉瓣感染性心内膜炎的发生需要独特的情况。路邓葡萄球菌是一种不常见的分离菌,它能够以各种非典型表现引起感染性心内膜炎。在此,我们描述一例20岁男性患者,他没有感染性心内膜炎的任何常见危险因素,却发生了由路邓葡萄球菌引起的孤立性肺动脉瓣心内膜炎。根据我们的文献综述,仅有另外1例路邓葡萄球菌心内膜炎累及肺动脉瓣的病例被报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3a2f/6661414/52c072350af9/gr1.jpg

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