Douedi Steven, Odak Mihir, Ravin Andrew, Campbell Natasha
Internal Medicine, Jersey Shore University Medical Center, Neptune City, USA.
Cureus. 2021 Jun 18;13(6):e15738. doi: 10.7759/cureus.15738. eCollection 2021 Jun.
Described as primarily an opportunistic pathogen, is primarily found as normal flora of the human skin but has been defined in literature as being a rare cause of infective endocarditis. We present a case of an otherwise healthy 65-year-old male who presented to our institution with symptoms similar to septic emboli. Blood cultures were obtained and ultimately grew in both bottles with repeat cultures one day later confirming the growth. A transthoracic echocardiogram was performed showing an ejection fraction of 60-65% and a thickened mitral value with mild-to-moderate mitral regurgitation. He was ultimately treated with IV cefazolin and improved with symptom resolution in outpatient follow-up. pathogenesis continues to be poorly understood, yet aggressive management with surgery and antibiotics has proven to decrease morbidity and mortality.
被描述为主要是一种机会性病原体，主要作为人类皮肤的正常菌群被发现，但在文献中被定义为感染性心内膜炎的罕见病因。我们报告一例65岁的健康男性病例，他因出现类似于脓毒性栓子的症状前来我院就诊。采集了血培养样本，最终两个培养瓶中均培养出该病原体，一天后重复培养证实了其生长。进行了经胸超声心动图检查，显示射血分数为60 - 65%，二尖瓣增厚伴轻度至中度二尖瓣反流。他最终接受了静脉注射头孢唑林治疗，并在门诊随访中症状缓解，病情好转。该病原体的发病机制仍知之甚少，但手术和抗生素的积极治疗已被证明可降低发病率和死亡率。 （原文中存在一处未明确的病原体名称，翻译时保留了英文表述。）
