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二尖瓣置换术后感染性心内膜炎罕见病例。

Rare Case of Infective Endocarditis after Mitral Valve Replacement Surgery.

作者信息

Opriș Diana Roxana, Vacariu Victor, Ion Alexandru Petru, Szigyarto Timea, Arbănași Emil Marian, Russu Eliza, Opriș Maria Mihaela

机构信息

Emergency Institute of Cardiovascular Diseases and Transplantation (IUBCVT), 540136 Targu Mures, Romania.

George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, Romania.

出版信息

Diseases. 2023 Sep 29;11(4):133. doi: 10.3390/diseases11040133.

Abstract

Infective endocarditis remains a condition associated with high morbidity and mortality, regardless of advances in diagnosis and therapeutics. The etiology, microbiology, and epidemiology of infective endocarditis have changed in the last years, with healthcare-associated infective endocarditis being responsible for a myriad of cases. is rarely the cause of infective endocarditis. We present a 72-year-old Caucasian female with a history of mitral valve replacement for rheumatic valve disease two months before the current presentation, without any immunosuppressive pathologies, diagnosed with infective endocarditis. Long-drawn antibiotic treatment led to a full recovery with no evidence of recurrence or relapse. This report highlights the importance of a multimodal approach for the diagnosis of bacterial etiology, the importance of selection and duration of an appropriate antibiotic regimen, and the presence of a rare opportunistic bacteria that has proven pathogenicity in a wide range of organ systems, usually in patients with several risk factors.

摘要

尽管在诊断和治疗方面取得了进展,但感染性心内膜炎仍然是一种与高发病率和死亡率相关的疾病。在过去几年中,感染性心内膜炎的病因、微生物学和流行病学发生了变化,医疗相关感染性心内膜炎导致了大量病例。 很少是感染性心内膜炎的病因。我们报告一例72岁的白种女性,在本次就诊前两个月因风湿性瓣膜病行二尖瓣置换术,无任何免疫抑制性疾病,被诊断为感染性心内膜炎。长期抗生素治疗导致完全康复,无复发或再发迹象。本报告强调了多模式方法对诊断细菌病因的重要性、选择合适抗生素方案的重要性和疗程,以及一种罕见的机会性细菌的存在,这种细菌在多种器官系统中已被证明具有致病性,通常见于有多种危险因素的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b29f/10594412/55c4e90b0028/diseases-11-00133-g001.jpg

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