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感染性心内膜炎中肩部脓肿与快速生长的嗜沫聚集杆菌相关性的探索

Exploration of Shoulder Abscess Association With Prompt Aggregatibacter aphrophilus Growth in Infective Endocarditis.

作者信息

Bagheri Sina, Takahashi Nene, Ramirez Victoria R, Jayasekara Deepthi K

机构信息

College of Osteopathic Medicine of the Pacific, Western University of Health Sciences, Pomona, USA.

Infectious Disease, Emanate Health Queen of the Valley Hospital, West Covina, USA.

出版信息

Cureus. 2022 Mar 12;14(3):e23107. doi: 10.7759/cureus.23107. eCollection 2022 Mar.

DOI:10.7759/cureus.23107
PMID:35464520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9001837/
Abstract

, formerly known as , is one member of a group of bacteria referred to as HACEK (, , , , ) organisms. Infections from any of the HACEK organisms typically lead to very poor outcomes and can be difficult to manage, especially when complicated by intracranial hemorrhage (ICH). HACEK organisms can also be difficult to grow on blood cultures, and is rarely seen, if at all. Traditionally, most laboratories follow an extended incubation protocol of 14 to 21 days to aid the growth of HACEK bacteria. Herein we report a case of infective endocarditis where resulted on blood culture in three days, in a patient with a right shoulder abscess, complicated by septic embolization leading to ICH. We explore a potential link between the prompt growth of on blood culture and the presence of the right shoulder abscess.

摘要

以前被称为 ,是被称为HACEK( 、 、 、 、 )菌群中的一员。任何一种HACEK菌群引起的感染通常会导致非常糟糕的结果,并且可能难以处理,尤其是当并发颅内出血(ICH)时。HACEK菌群在血培养中也可能难以生长,而且 极为罕见,即便有也很少见。传统上,大多数实验室采用14至21天的延长培养方案来促进HACEK细菌的生长。在此我们报告一例感染性心内膜炎病例,在一名患有右肩脓肿并并发导致ICH的脓毒性栓塞的患者中,血培养在三天内就检测出了 。我们探讨了血培养中 快速生长与右肩脓肿存在之间的潜在联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2444/9001837/ee9677c15e54/cureus-0014-00000023107-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2444/9001837/1ebc20f5f3ff/cureus-0014-00000023107-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2444/9001837/ee9677c15e54/cureus-0014-00000023107-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2444/9001837/1ebc20f5f3ff/cureus-0014-00000023107-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2444/9001837/ee9677c15e54/cureus-0014-00000023107-i02.jpg

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