布鲁氏菌性人工瓣膜心内膜炎伴感染性和心源性休克。

Brucella prosthetic valve endocarditis with septic and cardiogenic shock.

作者信息

Hamieh Amal, Hamieh Mohamad

机构信息

Department of Internal Medicine, Division of Infectious Diseases, Al-Rassoul Al Aazam University Hospital, Lebanon.

Cardiology Department, Beirut Cardiac Institute, Lebanon.

出版信息

IDCases. 2020 Jun 20;21:e00881. doi: 10.1016/j.idcr.2020.e00881. eCollection 2020.

DOI:10.1016/j.idcr.2020.e00881

PMID:32670791

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7347979/

Abstract

A young man with aortic prosthetic valve replacement, presented with prolonged fever and diagnosed with brucella endocarditis based on positive transthoracic echo findings with high titer positive brucellacapt serology. He was started on medical treatment with doxycycline and rifampin to which gentamicin and ceftriaxone were added and he was planned for surgical intervention. Unfortunately, the patient developed cardiogenic with septic shock before performing surgery and died within 24 h soon after admission.

摘要

一名接受主动脉人工瓣膜置换术的年轻男子，出现持续发热，经胸超声心动图检查结果呈阳性且布鲁氏菌捕获血清学检测高滴度阳性，被诊断为布鲁氏菌性心内膜炎。他开始接受强力霉素和利福平治疗，随后添加了庆大霉素和头孢曲松，并计划进行手术干预。不幸的是，患者在手术前出现心源性休克合并感染性休克，入院后24小时内死亡。