Li Jiayu, Zhou Li, Gong Xuhe, Wang Yuan, Yao Daokuo, Li Hongwei
Department of Cardiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Department of Internal Medical, Medical Health Center, Beijing Friendship Hospital, Capital Medical University, Beijing, China.
Front Med (Lausanne). 2022 Mar 11;9:780828. doi: 10.3389/fmed.2022.780828. eCollection 2022.
() is a rare species leading to infective endocarditis (IE) with a poor prognosis. We describe a previously healthy patient with mitral valve infective endocarditis caused by .
A young man was admitted with intermittent fever. Echocardiography confirmed vegetation on the mitral valve with evidence of valve perforation and severe mitral regurgitation. Three sets of blood cultures became positive for . As he presented with manifestations of mesenteric arterial branch pseudoaneurysm, splenic and renal infarction, mitral valve replacement, and embolization of superior mesenteric aneurysm were operated during 8 weeks' targeted antibiotic therapy.
This case study emphasizes the importance of considering as a rare but important cause of IE and of performing blood culture to make its accurate diagnosis and timely anti-infective treatment. Early surgical management and active prevention of complications have been associated with a favorable prognosis.
（）是一种导致感染性心内膜炎（IE）的罕见物种，预后较差。我们描述了一名既往健康的患者，其患有由（）引起的二尖瓣感染性心内膜炎。
一名年轻男性因间歇性发热入院。超声心动图证实二尖瓣有赘生物，伴有瓣膜穿孔和严重二尖瓣反流的证据。三组血培养结果显示（）呈阳性。由于他出现了肠系膜动脉分支假性动脉瘤、脾梗死和肾梗死的表现，在为期8周的靶向抗生素治疗期间，进行了二尖瓣置换术以及肠系膜上动脉瘤栓塞术。
本病例研究强调了将（）视为IE的一种罕见但重要病因的重要性，以及进行血培养以准确诊断并及时进行抗感染治疗的重要性。早期手术治疗和积极预防并发症与良好的预后相关。
