心力衰竭患者的菌血症：病例报告与文献综述
bacteraemia in a patient with heart failure: case report and literature review.
作者信息
Wood Taylor, Abbate Antonio, Tchoukina Inna, Stevens Michael P
机构信息
Department of Internal Medicine, VCU Health System, 1101 East Marshall Street, Sanger Hall Suite 1-030, Richmond, VA 23298, USA.
Division of Cardiology, Department of Internal Medicine, VCU Health System, West Hospital 6th Floor, North Wing, Box 980036, Richmond, VA 23298, USA.
出版信息
Eur Heart J Case Rep. 2020 Nov 12;4(6):1-6. doi: 10.1093/ehjcr/ytaa338. eCollection 2020 Dec.
BACKGROUND
A 29-year-old male with recently diagnosed biventricular failure from myopericarditis and subsequent constrictive pericarditis on home milrinone presented to the Emergency Department with fevers/chills.
CASE SUMMARY
On arrival to the Emergency Department, he was found to have septic shock and required vasopressor therapy. grew on his admission blood cultures, and he was treated with ciprofloxacin and piperacillin/tazobactam. He quickly improved, allowing for a successful pericardiectomy, was weaned off inotropes and discharged from the hospital.
DISCUSSION
is an environmental Gram-negative rod found in groundwater. It is rarely associated with human infection, but is associated with indwelling lines and has been documented in immunocompromised patients. Treatment typically involves line removal and a fluoroquinolone or piperacillin/tazobactam; the most optimal antimicrobial regimen and duration of treatment are unknown.
背景
一名29岁男性，近期因心肌心包炎并发双心室衰竭，随后在家中使用米力农治疗时出现缩窄性心包炎，因发热/寒战就诊于急诊科。
病例摘要
到达急诊科时，发现他患有感染性休克，需要血管活性药物治疗。入院血培养结果显示[此处原文有缺失信息，未明确具体培养结果]，给予环丙沙星和哌拉西林/他唑巴坦治疗。他很快好转，成功进行了心包切除术，停用了强心剂并出院。
讨论
[此处原文有缺失信息，未明确具体讨论对象]是一种在地下水中发现的环境革兰氏阴性杆菌。它很少与人类感染相关，但与留置导管有关，并且在免疫功能低下的患者中已有记录。治疗通常包括拔除导管以及使用氟喹诺酮类药物或哌拉西林/他唑巴坦；最佳抗菌方案和治疗持续时间尚不清楚。
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