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一例具有不确定恶性潜能的子宫平滑肌瘤患者继发于具核梭杆菌的感染性心内膜炎:病例报告及文献复习

Infective Endocarditis Secondary to Bacteroides Thetaiotaomicron in a Patient With Uterine Smooth Muscle Tumor of Uncertain Malignant Potential: A Case Report and Review of the Literature.

作者信息

Beshai Rafail, Wadehra Ramneet

机构信息

Internal Medicine, Jefferson Health - New Jersey, Stratford, USA.

Cardiology, Virtua, Camden, USA.

出版信息

Cureus. 2022 Mar 22;14(3):e23403. doi: 10.7759/cureus.23403. eCollection 2022 Mar.

Abstract

species are significant clinical pathogens with an associated mortality of more than 19% and are found in most anaerobic infections. Our report documents for the first time a case of infective endocarditis (IE) secondary to  (BT). We discuss the case of a 65-year-old female with a medical history of smooth muscle tumor of uncertain malignant potential (STUMP) who presented to the ED with lower quadrant pain. In the hospital, she was found to be in septic shock. A transthoracic echocardiogram showed large vegetation on the aortic valve with severe aortic regurgitation and a blood culture growing BT. We urge physicians to be alert to the fact that Gram-negative anaerobes like BT can cause IE.

摘要

某些菌种是重要的临床病原体,相关死亡率超过19%,且在大多数厌氧菌感染中都能发现。我们的报告首次记录了一例由[细菌名称未明确,推测为BT]引起的感染性心内膜炎(IE)病例。我们讨论了一名65岁女性的病例,她有潜在恶性不确定的平滑肌肿瘤(STUMP)病史,因下腹部疼痛就诊于急诊科。在医院里,她被发现处于感染性休克状态。经胸超声心动图显示主动脉瓣上有大的赘生物,伴有严重的主动脉瓣反流,血培养结果显示培养出[细菌名称未明确,推测为BT]。我们敦促医生警惕像[细菌名称未明确,推测为BT]这样的革兰氏阴性厌氧菌可引起感染性心内膜炎这一事实。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bc1/9023027/9125a95d5aea/cureus-0014-00000023403-i01.jpg

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