Fujimiya Tsuyoshi, Sato Yoichi
Department of Cardiovascular Surgery, Fukushima Medical University, Fukushima, Japan.
Department of Cardiovascular Surgery, Yonezawa City Hospital, Yamagata, Japan.
J Cardiol Cases. 2022 Nov 16;27(3):89-92. doi: 10.1016/j.jccase.2022.10.013. eCollection 2023 Mar.
A 79-year-old male with no history of immunodeficiency was transferred to our hospital complaining of shortness of breath and general fatigue. He was diagnosed with recent myocardial infarction and underwent emergent percutaneous coronary intervention. However, the course of congestive heart failure was poor, and he required respiratory support and renal replacement therapy. was detected in blood culture obtained on admission, and then a follow-up echocardiogram revealed infective endocarditis. We administered ampicillin-sulbactam and performed urgent operation. The post-operative course was uneventful with 4-week administration of antimicrobial agents.
Infective endocarditis caused by may also occur in non-compromised patients although infections have been reported only in compromised hosts. This pathogen is sensitive to a variety of antibiotics. We selected ampicillin-sulbactam to treat infective endocarditis based on a sensitivity examination, and the patient's post-operative clinical course was uneventful. Ampicillin-sulbactam may be a useful treatment option.
一名79岁无免疫缺陷病史的男性因呼吸急促和全身乏力被转诊至我院。他被诊断为近期心肌梗死并接受了紧急经皮冠状动脉介入治疗。然而，充血性心力衰竭病程不佳，他需要呼吸支持和肾脏替代治疗。入院时血培养检测到（此处原文缺失病原体名称），随后的超声心动图检查显示为感染性心内膜炎。我们给予氨苄西林-舒巴坦并进行了紧急手术。术后病程平稳，使用抗菌药物治疗4周。
尽管（此处原文缺失病原体名称）感染仅在免疫功能低下宿主中报道过，但由其引起的感染性心内膜炎也可能发生在非免疫功能低下患者中。这种病原体对多种抗生素敏感。我们根据药敏试验选择氨苄西林-舒巴坦治疗感染性心内膜炎，患者术后临床病程平稳。氨苄西林-舒巴坦可能是一种有效的治疗选择。
