Maaliki Naji, Verdecia Jorge, Ravi Malleswari
Department of Internal Medicine, University of Florida COM-Jacksonville, 4th Floor, 655 8th W 8th Street, Jacksonville, FL, USA.
Department of Infectious Diseases, University of Florida COM-Jacksonville, 655 8th W 8th Street, Jacksonville, FL, USA.
IDCases. 2021 May 7;24:e01149. doi: 10.1016/j.idcr.2021.e01149. eCollection 2021.
An 80-year-old patient was admitted for fever, chills, and chest wall pain. He had a past medical history significant for heart failure with a cardiac resynchronization therapy pacemaker implantation. Extensive workup revealed endocarditis of the pacemaker leads and the mitral valve, a rare etiology with an unidentified source in our patient. He was managed with a rather unconventional method which proved to be successful. This case sheds light on non-HACEK (other than spp., , , , or spp). gram-negative organisms, and particularly , as uncommon causes of endocarditis with elevated mortality, and discusses potential treatment modalities.
一名80岁患者因发热、寒战和胸壁疼痛入院。他有心力衰竭病史，曾植入心脏再同步治疗起搏器。全面检查发现起搏器导线和二尖瓣感染性心内膜炎，这是一种罕见病因，在我们的患者中感染源不明。他接受了一种相当非常规的治疗方法，结果证明是成功的。该病例揭示了非HACEK（除 菌属、 菌属、 菌属、 菌属或 菌属之外）革兰氏阴性菌，特别是 菌，作为感染性心内膜炎的罕见病因，死亡率较高，并讨论了潜在的治疗方式。
