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鲍曼不动杆菌所致自体瓣膜感染性心内膜炎:一例报告

Acinetobacter Baumannii Native Valve Infective Endocarditis: A Case Report.

作者信息

Lahmidi Ismahane, Charmake Darar, Elouafi Noha, Bazid Zakaria

机构信息

Cardiology, Mohammed I University/Mohammed VI University Hospital, Epidemiological Laboratory of Clinical Research and Public Health, Oujda, MAR.

Cardiology, Mohammed I University/Mohammed VI University Hospital, Oujda, MAR.

出版信息

Cureus. 2020 Nov 17;12(11):e11527. doi: 10.7759/cureus.11527.

Abstract

Infective endocarditis caused by Acinetobacter (A.) baumannii is a rare but severe complication that affects seriously ill, hospitalized patients undergoing invasive procedures. It is associated with an increased mortality rate than that of endocarditis due to the HACEK group (Haemophilus species, Aggregatibacter actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, Kingella kingae) gram-negative bacteria. We report a case of a 54-year-old woman who was diagnosed with infective endocarditis caused by A. baumannii three days following her admission to the intensive unit care (ICU). The diagnosis was made on the basis of repeated blood cultures and transthoracic echocardiography, which revealed mobile vegetation attached to the mitral valve. In spite of aggressive therapeutic regimens, outcomes were poor and the patient died. This report underlines the severe nature of A. baumannii infections, which are still associated with a prolonged hospital stay, and increased morbidity, mortality, and medical costs.

摘要

鲍曼不动杆菌引起的感染性心内膜炎是一种罕见但严重的并发症,影响接受侵入性操作的重症住院患者。与由HACEK组(嗜血杆菌属、伴放线聚集杆菌、人心杆菌、腐蚀艾肯菌、金氏金杆菌)革兰氏阴性菌引起的心内膜炎相比,其死亡率更高。我们报告一例54岁女性病例,该患者在入住重症监护病房(ICU)三天后被诊断为鲍曼不动杆菌引起的感染性心内膜炎。诊断基于多次血培养和经胸超声心动图,结果显示二尖瓣上有活动的赘生物。尽管采取了积极的治疗方案,但预后不佳,患者死亡。本报告强调了鲍曼不动杆菌感染的严重性,这种感染仍与住院时间延长、发病率、死亡率和医疗费用增加有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4331/7746322/25347ef9dfab/cureus-0012-00000011527-i01.jpg

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