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一例由汉赛巴尔通体感染性心内膜炎引发的“灾难性”病例及心脏移植挽救治疗

A "Cat"-astrophic Case of Bartonella henselae infective endocarditis followed by cardiac transplantation salvage therapy.

作者信息

Kuan William, Dulnuan Kenneth, Guglin Maya E, El Haddad Hanine, Kolodziej Andrew R, Leventhal Andrew, Rajagopalan Navin

机构信息

Department of Pharmacy Services, University of Kentucky Albert B. Chandler Hospital, Lexington, KY, USA.

Jewish Hospital, University of Louisville, Louisville, KY, USA.

出版信息

Transpl Infect Dis. 2019 Dec;21(6):e13179. doi: 10.1111/tid.13179. Epub 2019 Oct 6.

DOI:10.1111/tid.13179
PMID:31541582
Abstract

To our knowledge, no cases of Bartonella henselae endocarditis leading to subsequent heart transplantation salvage therapy have been published. We present a case of a 29-year-old man with cat-inflicted B henselae endocarditis and concurrent worsening heart failure, who then underwent successful heart transplantation 50 days following diagnosis. Treatment and monitoring strategies used in this patient are discussed. Furthermore, we review literature related to heart transplantation salvage therapy for endocarditis due to other intracellular pathogens.

摘要

据我们所知,目前尚未发表过因汉赛巴尔通体心内膜炎而接受后续心脏移植挽救治疗的病例。我们报告一例29岁男性患者,因猫抓感染汉赛巴尔通体心内膜炎并伴有心力衰竭加重,在诊断后50天成功接受心脏移植。本文讨论了该患者所采用的治疗和监测策略。此外,我们还回顾了有关因其他细胞内病原体引起的心内膜炎进行心脏移植挽救治疗的相关文献。

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Zoonotic vascular endograft infections are rare but serious complications.人畜共患血管内移植物感染虽罕见但却是严重的并发症。
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A case of native valve endocarditis presenting with crescentic glomerulonephritis.一例原发性瓣膜性心内膜炎伴新月体性肾小球肾炎。
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