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免疫功能低下患者的 Culture-Negative 心内膜炎:疑似合并感染病例。

Culture-Negative Endocarditis in an Immunocompromised Patient: A Case of Suspected and Co-Infection.

机构信息

North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago.

Kansas University Medical Center, Wichita, USA.

出版信息

J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231192811. doi: 10.1177/23247096231192811.

DOI:10.1177/23247096231192811
PMID:37559398
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10413893/
Abstract

We present the case of a 23-year-old man with a previous deceased-donor renal transplant maintained on tacrolimus and prednisone who developed culture-negative endocarditis (CNE) of the mitral and aortic valves. He was suspected of being co-infected with and , confirmed with serology testing. He was successfully managed with appropriate antibiotics and dual valve replacement.

摘要

我们报告了 1 例 23 岁男性患者,曾接受过肾移植(供体死亡),现使用他克莫司和泼尼松维持治疗,患有二尖瓣和主动脉瓣的培养阴性心内膜炎(CNE)。他被怀疑合并感染 和 ,通过血清学检测得到确认。他接受了适当的抗生素治疗和双瓣置换术,成功得到了治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61e/10413893/44fb64e951cc/10.1177_23247096231192811-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61e/10413893/a278ada9e0d4/10.1177_23247096231192811-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61e/10413893/44fb64e951cc/10.1177_23247096231192811-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61e/10413893/a278ada9e0d4/10.1177_23247096231192811-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d61e/10413893/44fb64e951cc/10.1177_23247096231192811-fig2.jpg

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Int J Gen Med. 2023 Jan 24;16:317-327. doi: 10.2147/IJGM.S393329. eCollection 2023.
2
Infective endocarditis and COVID -19 coinfection: An updated review.感染性心内膜炎与 COVID-19 合并感染:最新综述。
Acta Biomed. 2022 Mar 14;93(1):e2022030. doi: 10.23750/abm.v93i1.10982.
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Serious and Atypical Presentations of Infection in Kidney Transplant Recipients.肾移植受者感染的严重和非典型表现
Open Forum Infect Dis. 2022 Feb 5;9(3):ofac059. doi: 10.1093/ofid/ofac059. eCollection 2022 Mar.
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A case of native valve endocarditis presenting with crescentic glomerulonephritis.一例原发性瓣膜性心内膜炎伴新月体性肾小球肾炎。
IDCases. 2021 Dec 16;27:e01366. doi: 10.1016/j.idcr.2021.e01366. eCollection 2022.
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Successful experience of coronavirus disease-2019 pneumonia in a renal-transplant recipient.一名肾移植受者的2019冠状病毒病肺炎成功治疗经验。
Saudi J Kidney Dis Transpl. 2020 Nov-Dec;31(6):1439-1440. doi: 10.4103/1319-2442.308366.
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Co-infection with bacterial and fungal endocarditis at scar tissue in an immunocompromised patient.一名免疫功能低下患者的瘢痕组织处发生细菌性和真菌性心内膜炎合并感染。
J Cardiol Cases. 2018 Dec 17;19(4):117-120. doi: 10.1016/j.jccase.2018.11.004. eCollection 2019 Apr.
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