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菌血症;心内膜炎是必然结果吗?

Bacteremia; is Endocarditis a Rule?

作者信息

Challa Haripriya Reddy, Tayade Ashwini Choudary, Venkatesh Srimathy, Nambi P Senthur

机构信息

Institute of Infectious Diseases, Apollo Hospitals, Chennai, Tamil Nadu, India.

Department of Infectious Diseases, Kingsway Hospital, Nagpur, Maharastra, India.

出版信息

J Glob Infect Dis. 2022 Nov 1;15(1):31-34. doi: 10.4103/jgid.jgid_30_22. eCollection 2023 Jan-Mar.

Abstract

is a Gram-positive bacillus, a zoonotic pathogen rarely causing human infections ranging from localized skin infections to invasive infections such as endocarditis. In this report, we present two cases of bacteremia. The first case is a native valve tricuspid endocarditis, which is a highly unusual valve to be involved. The second case is bacteremia, probably secondary to a minor skin breach, which did not involve heart valves. bacteremia is considered highly associated with infective endocarditis and a high mortality rate, which could be a bias due to underreporting of bacteremia without endocarditis. is intrinsically resistant to vancomycin, the first-line agent for Gram-positive bacteremia. Both the patients in this report were treated successfully with ceftriaxone.

摘要

是一种革兰氏阳性杆菌,是人畜共患病原体,很少引起人类感染,范围从局部皮肤感染到侵袭性感染如心内膜炎。在本报告中,我们呈现了两例菌血症病例。第一例是原发性瓣膜三尖瓣心内膜炎,累及该瓣膜非常罕见。第二例是菌血症,可能继发于轻微皮肤破损,未累及心脏瓣膜。菌血症被认为与感染性心内膜炎高度相关且死亡率高,这可能是由于未报告无心内膜炎的菌血症而产生的偏差。对革兰氏阳性菌血症的一线药物万古霉素具有内在耐药性。本报告中的两名患者均用头孢曲松成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c259/10118208/3dbd96537fa6/JGID-15-31-g001.jpg

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