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血培养阴性感染性心内膜炎:病例报告与文献综述

Blood Culture-Negative Infective Endocarditis by : Case Report and Literature Review.

作者信息

Bustos-Merlo Antonio, Rosales-Castillo Antonio, Cobo Fernando, Hidalgo-Tenorio Carmen

机构信息

Department of Internal Medicine, Virgen de las Nieves University Hospital, 18014 Granada, Spain.

Department of Microbiology, Virgen de las Nieves University Hospital, 18012 Granada, Spain.

出版信息

J Clin Med. 2022 Jul 2;11(13):3841. doi: 10.3390/jcm11133841.

Abstract

is a habitual colonizing microorganism of the lower genital tract but can exceptionally be the causal agent of blood culture-negative infective endocarditis (IE). Only 11 cases of this entity have been published to date. The study objectives were to describe the first case diagnosed in our center of IE by on pacemaker lead and to carry out a narrative review. Among published cases of IE by this microorganism, 72.7% were male, with a mean age of 45 years and a history of valve surgery; the diagnosis was by culture (54.5%) or molecular technique (45.5%), and the prognosis was favorable in 72.7% of cases. The most frequently prescribed antibiotics were doxycycline, quinolones, and clindamycin.

摘要

是下生殖道的一种习惯性定植微生物,但偶尔也可能是血培养阴性感染性心内膜炎(IE)的病原体。迄今为止,仅发表了11例该病例。本研究的目的是描述在我们中心诊断的首例由该微生物引起的起搏器导线相关IE病例,并进行叙述性综述。在已发表的该微生物引起的IE病例中,72.7%为男性,平均年龄45岁,有瓣膜手术史;诊断通过培养(54.5%)或分子技术(45.5%),72.7%的病例预后良好。最常使用的抗生素是多西环素、喹诺酮类和克林霉素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ffb3/9267468/dba11c3ce019/jcm-11-03841-g001.jpg

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