Douedi Steven, Upadhyaya Vandan D, Obagi Aref, Hossain Mohammad
Department of Medicine, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA.
Department of Cardiology, Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ 07753, USA.
Cardiol Res. 2020 Jun;11(3):192-195. doi: 10.14740/cr1037. Epub 2020 May 3.
() is a β-hemolytic coagulase-negative staphylococcus causing skin and soft tissue infections with an increasing incidence. Commonly found as normal flora in the perineal region, has been found in rare cases of infective endocarditis causing increased morbidity and mortality. We present a case of a previously healthy young male diagnosed with -caused infective endocarditis. A 31-year-old male with no significant past medical history, who presented to the emergency department with acute onset crushing substernal chest pressure and dyspnea with profuse sweating following 1-week-long febrile illness and malaise. The initial electrocardiogram (ECG) showed diffuse ST depressions in all precordial leads, consistent with an acute coronary syndrome. Emergent transthoracic echocardiogram revealed an ejection fraction (EF) of 45% with severe aortic insufficiency with emanating from a torn right coronary cusp. The patient had a cardiac arrest, and recovery of spontaneous circulation (ROSC) was obtained after 13 min. He subsequently underwent mechanical aortic valve replacement surgery. The native valve specimen cultures grew . . Postoperatively and after a long course of antibiotics, the patient fully recovered without complications. is a common organism with increasing incidence that can lead to significant morbidity and mortality if not properly detected and treated. We hope this case presentation would support emergency valve replacement surgery in patients with . -suspected infective endocarditis.
（）是一种β溶血性凝固酶阴性葡萄球菌，可引起皮肤和软组织感染，其发病率呈上升趋势。它通常作为会阴区域的正常菌群被发现，在罕见的感染性心内膜炎病例中也有发现，会导致发病率和死亡率增加。我们报告一例先前健康的年轻男性被诊断为由（）引起的感染性心内膜炎的病例。一名31岁男性，既往无重大病史，在经历1周的发热性疾病和不适后，因急性发作的胸骨后压榨性胸痛和呼吸困难伴大量出汗就诊于急诊科。初始心电图（ECG）显示所有胸前导联弥漫性ST段压低，符合急性冠状动脉综合征。急诊经胸超声心动图显示射血分数（EF）为45%，伴有严重主动脉瓣关闭不全，源于右冠状动脉瓣叶撕裂。患者发生心脏骤停，13分钟后恢复自主循环（ROSC）。随后他接受了机械主动脉瓣置换手术。天然瓣膜标本培养生长出（）。术后经过长期抗生素治疗，患者完全康复，无并发症。（）是一种常见的病原体，发病率不断上升，如果未得到正确检测和治疗，可导致显著的发病率和死亡率。我们希望这个病例报告能支持对疑似（）感染性心内膜炎患者进行急诊瓣膜置换手术。
