Saboe Aninka, Adrian Yudri, Widyatmoko Leonardus, Hasan Melawati, Cool Charlotte Johanna, Hartantri Yovita, Rahmadi Andri Reza, Nusjirwan Rama, Akbar Mohammad Rizki
Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
Clinical Microbiology Division, Department of Clinical Pathology, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung, Indonesia.
IDCases. 2021 May 7;24:e01152. doi: 10.1016/j.idcr.2021.e01152. eCollection 2021.
() is a low-pathogenicity, gram-negative bacilli (GNB) that are previously known as an opportunist microorganism. Recent studies have shown that is an emerging pathogen causing various infections. Multidrug-resistant GNB has emerged as a major clinical and therapeutic dilemma in various hospital-associated infections. Although rare, could be associated with infective endocarditis (IE). Prosthetic valve endocarditis (PVE) is the most severe type of IE, which has high mortality rates despite diagnostic and treatment advances. We report a fatal case of early PVE associated with multidrug-resistant (MDR) - complicated with perivalvular abscess, complete heart block, valve detachment, and septic arthritis.
（）是一种低致病性革兰氏阴性杆菌（GNB），以前被认为是一种机会性微生物。最近的研究表明，它是一种引起各种感染的新兴病原体。多重耐药GNB已成为各种医院相关感染中的主要临床和治疗难题。虽然罕见，但（）可能与感染性心内膜炎（IE）有关。人工瓣膜心内膜炎（PVE）是IE最严重的类型，尽管诊断和治疗取得了进展，但死亡率仍然很高。我们报告了一例与多重耐药（MDR）-相关的早期PVE致死病例，该病例并发瓣周脓肿、完全性心脏传导阻滞、瓣膜脱离和脓毒性关节炎。
