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主动脉瓣心内膜炎的挽救性治疗:达托霉素与早期手术治疗

Lifesaving Treatment of Aortic Valve Endocarditis: Daptomycin and Early Surgical Therapy.

作者信息

Yozgat Can Yilmaz, Uzuner Selcuk, Ay Yasin, Temur Hafize Otcu, Bursal Duramaz Burcu, Turel Ozden, Calim Muhittin, Buyukpinarbasili Nur, Yozgat Yilmaz

机构信息

Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.

Department of Pediatric Critical Care Medicine, Bezmialem Vakif University, Istanbul, Turkey.

出版信息

J Pediatr Intensive Care. 2020 Jul 30;10(4):298-302. doi: 10.1055/s-0040-1713614. eCollection 2021 Nov.

Abstract

Infective endocarditis (IE) is an uncommon infection in children. The recommended treatment for native valve endocarditis secondary to methicillin-susceptible infection is antistaphylococcal penicillins such as nafcillin or oxacillin. If the initial therapy fails in IE, it can lead to catastrophic results. Nowadays, daptomycin is the best alternative antimicrobial agent to treat children with severe infections, when standard antimicrobial therapy does not yield a result. Herein, in this article, we described a case of a 16-year-old boy who had aortic valve endocarditis with septic embolization and stroke. The patient was successfully treated only with daptomycin as well as surgical therapy in the early phase of the infection.

摘要

感染性心内膜炎(IE)在儿童中是一种不常见的感染。对于由甲氧西林敏感感染引起的自体瓣膜心内膜炎,推荐的治疗药物是抗葡萄球菌青霉素,如萘夫西林或苯唑西林。如果IE的初始治疗失败,可能会导致灾难性后果。如今,当标准抗菌治疗无效时,达托霉素是治疗严重感染儿童的最佳替代抗菌药物。在此,我们描述了一例16岁男孩,患有主动脉瓣心内膜炎并伴有脓毒性栓塞和中风。该患者在感染早期仅通过达托霉素以及手术治疗就成功治愈。

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Pediatr Infect Dis J. 2016 Jun;35(6):639-41. doi: 10.1097/INF.0000000000001121.

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