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达托霉素对高度耐青霉素的草绿色链球菌引起的感染性心内膜炎的疗效。

Effectiveness of daptomycin against infective endocarditis caused by highly penicillin-resistant viridans group streptococci.

作者信息

Matsuo Takahiro, Mori Nobuyoshi, Sakurai Aki, Kanie Takayoshi, Mikami Yumiko, Uehara Yuki, Furukawa Keiichi

机构信息

Department of Infectious Diseases, St. Luke's International Hospital, Tokyo, Japan.

Department of Cardiology, St. Luke's International Hospital, Tokyo, Japan.

出版信息

IDCases. 2021 Apr 5;24:e01113. doi: 10.1016/j.idcr.2021.e01113. eCollection 2021.

DOI:10.1016/j.idcr.2021.e01113
PMID:33898259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8055607/
Abstract

Penicillin-resistant viridans group streptococci (VGS) infections are an emerging issue in infectious diseases. Here, we present a case of mitral valve infective endocarditis caused by highly penicillin-resistant VGS (minimum inhibitory concentration >4 μg/mL), which was successfully treated with daptomycin. Although the clinical efficacy of daptomycin has not been established, it can be an alternative for the treatment of highly resistant VGS endocarditis.

摘要

对青霉素耐药的草绿色链球菌(VGS)感染是传染病领域中一个新出现的问题。在此,我们报告一例由对青霉素高度耐药的VGS(最低抑菌浓度>4μg/mL)引起的二尖瓣感染性心内膜炎病例,该病例用达托霉素成功治愈。尽管达托霉素的临床疗效尚未得到确证,但它可作为治疗高度耐药VGS心内膜炎的一种替代药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa63/8055607/8f9505e380b2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa63/8055607/05f7a4233ea4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa63/8055607/8f9505e380b2/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa63/8055607/05f7a4233ea4/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa63/8055607/8f9505e380b2/gr2.jpg

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本文引用的文献

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Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association.成人感染性心内膜炎:诊断、抗菌治疗和并发症处理:美国心脏协会医疗保健专业人员科学声明。
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Antimicrob Agents Chemother. 2013 Dec;57(12):6213-22. doi: 10.1128/AAC.01563-13. Epub 2013 Sep 30.
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A multicentre evaluation of the effectiveness and safety of high-dose daptomycin for the treatment of infective endocarditis.高剂量达托霉素治疗感染性心内膜炎有效性和安全性的多中心评估
J Antimicrob Chemother. 2013 Dec;68(12):2921-6. doi: 10.1093/jac/dkt294. Epub 2013 Aug 8.
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