Vinciguerra Mattia, Santamaria Valeria, Romiti Silvia, D'Abramo Mizar, Toto Gianmarco, De Bellis Antonio, Taliani Gloria, Sangiorgi Giuseppe, Greco Ernesto
Department of Clinical, Internal Medicine, Anesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.
Department of Cardiology and Cardiac Surgery, Casa di Cura "S. Michele", Maddaloni, Italy.
Front Cardiovasc Med. 2021 Apr 29;8:648213. doi: 10.3389/fcvm.2021.648213. eCollection 2021.
complex (SBSEC) is a group of that colonizes both humans and animals. Due to gastrointestinal disease, they can switch in opportunistic pathogens passing through intestinal mucosal barrier and may cause bacteremia and distant organs damage. Despite infective endocarditis (IE), extra-cardiac manifestations of organs damage include osteoarticular infections, meningitis, and biliary infections among others; moreover, the association with colonic pathological lesions has been largely described. as a species included in SBSEC may share pathophysiological similarities, although it represents an extremely rare cause of distant organ infections, being reported in literature as causative agent of IE in only two other cases. We describe a case of 69-year-old male admitted to our institution due to mild-moderate dyspnea and fever, affected by cervico-brachialgia for 3 weeks. was identified as causative agent of IE on the mitral valve, causing severe regurgitation.
复杂（SBSEC）是一组同时定植于人类和动物的菌群。由于胃肠道疾病，它们可转变为穿过肠道黏膜屏障的机会性病原体，并可能导致菌血症和远处器官损伤。尽管存在感染性心内膜炎（IE），器官损伤的心脏外表现包括骨关节炎感染、脑膜炎和胆道感染等；此外，与结肠病理病变的关联也有大量描述。作为SBSEC中的一个物种可能具有相似的病理生理特征，尽管它是远处器官感染的极其罕见的原因，在文献中仅另外两例报道其为IE的病原体。我们描述了一例69岁男性因轻度至中度呼吸困难和发热入住我院，伴有颈臂痛3周。该菌被确定为二尖瓣IE的病原体，导致严重反流。
