Gilbert Zachary, Markovic J P, Stultz David
Internal Medicine, Kettering Medical Center, Kettering, USA.
Cardiovascular, Kettering Medical Center, Kettering, USA.
Cureus. 2021 Nov 18;13(11):e19716. doi: 10.7759/cureus.19716. eCollection 2021 Nov.
is an enteric microorganism that, if introduced into the vasculature, is an uncommon cause of infective endocarditis. Timely diagnosis, appropriate treatment measures, and close follow-up are key to therapeutic success. Antibiotic therapy is the mainstay of therapy, and surgical intervention is sometimes indicated. Here we present a novel case of a 45-year-old transgender male with Factor V Leiden deficiency who was found to have mitral valve endocarditis due to the postoperative complications of colovesical fistula formation leading to extended-spectrum beta-lactamase (ESBL) urinary tract infection (UTI) and bacteremia in the setting of recent phalloplasty, mastectomy, and vaginal eversion.
是一种肠道微生物，如果进入血管系统，是感染性心内膜炎的罕见病因。及时诊断、采取适当的治疗措施以及密切随访是治疗成功的关键。抗生素治疗是主要的治疗方法，有时需要进行手术干预。在此，我们报告一例新型病例，一名45岁的变性男性，患有因子V莱顿缺乏症，因结肠膀胱瘘形成的术后并发症导致超广谱β-内酰胺酶（ESBL）尿路感染（UTI）和菌血症，在近期阴茎成形术、乳房切除术和阴道外翻的情况下发生二尖瓣心内膜炎。
