Assi Farah, Hammoud Ramzi, Ezzedine Ahmad, Rahal Hasan
Faculty of Medical Sciences, Lebanese University, Beirut, Lebanon.
Bahman Hospital, Haret Hreik, Lebanon.
IDCases. 2023 Jan 9;31:e01687. doi: 10.1016/j.idcr.2023.e01687. eCollection 2023.
This report describes a case of Sphingomonas paucimobilis bacteremia and infective endocarditis with a mycotic aneurysm in a young patient with Crohn's disease. Our patient reported prolonged intermittent fever followed by sudden hemiparesis and a tonic clonic convulsion. His blood cultures showed growth of , and further cardiac imaging revealed the presence of a vegetation with severe valvular regurgitation. Cerebral angiography showed middle cerebral artery occlusion and aneurysm. The patient was treated with meropenem for 6 weeks, coupled with aortic valve replacement, and coiling of the aneurysm. Our patient recovered with good results. is an opportunistic gram-negative pathogen of growing importance in the clinical setting.
本报告描述了一例少动鞘氨醇单胞菌血症和感染性心内膜炎病例，该病例发生在一名患有克罗恩病的年轻患者身上，伴有霉菌性动脉瘤。我们的患者报告有长期间歇性发热，随后突然出现偏瘫和强直性阵挛性惊厥。他的血培养显示有[具体细菌名称未给出]生长，进一步的心脏影像学检查显示存在赘生物并伴有严重的瓣膜反流。脑血管造影显示大脑中动脉闭塞和动脉瘤。患者接受了美罗培南治疗6周，同时进行了主动脉瓣置换和动脉瘤栓塞术。我们的患者康复情况良好。[具体细菌名称未给出]是一种在临床环境中重要性日益增加的机会性革兰氏阴性病原体。
