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铜绿假单胞菌性心内膜炎伴巨大二尖瓣赘生物,导致严重二尖瓣反流和心源性休克。

Pseudomonas aeruginosa Endocarditis With a Large Mitral Valve Vegetation Causing Severe Mitral Valve Regurgitation and Cardiogenic Shock.

作者信息

Shah Kriya, Santiago Luis E, Gusan Tatiana, Gomez Tricia, Poonam Choudhry

机构信息

Medicine, Dr. Kiran C. Patel College Of Osteopathic Medicine, Nova Southeastern University, Fort Lauderdale, USA.

Internal Medicine, HCA Florida Northwest Hospital, Margate, USA.

出版信息

Cureus. 2024 Jun 5;16(6):e61742. doi: 10.7759/cureus.61742. eCollection 2024 Jun.

DOI:10.7759/cureus.61742
PMID:38975520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11226193/
Abstract

Infective endocarditis (IE) is characterized by the inflammation of the inner layer of the heart that can be caused by different pathogens. Pseudomonas aeruginosa is an uncommon source of IE. The clinical presentation is highly dependent on the patient's medical history, societal factors, and valve involvement. This infection is associated with many unfavorable complications and high mortality rates. We present a case of P. aeruginosa endocarditis causing severe mitral valve regurgitation, leading to cardiogenic shock and an eventual replacement of the mitral valve. Prompt and sensitive antibiotics in combination with surgical consultation are vital to the survival of this condition.

摘要

感染性心内膜炎(IE)的特征是心脏内层发生炎症,可由不同病原体引起。铜绿假单胞菌是IE的一种罕见病因。临床表现高度依赖于患者的病史、社会因素和瓣膜受累情况。这种感染与许多不良并发症和高死亡率相关。我们报告一例铜绿假单胞菌性心内膜炎病例,该病例导致严重二尖瓣反流,进而引发心源性休克,最终进行了二尖瓣置换术。及时使用敏感抗生素并结合外科会诊对于这种疾病的存活至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/77ed04a32bd5/cureus-0016-00000061742-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/c602bca86d8e/cureus-0016-00000061742-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/e17e30b83ca0/cureus-0016-00000061742-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/fbbf0835af76/cureus-0016-00000061742-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/5dc934837f03/cureus-0016-00000061742-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/77ed04a32bd5/cureus-0016-00000061742-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/c602bca86d8e/cureus-0016-00000061742-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/e17e30b83ca0/cureus-0016-00000061742-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/fbbf0835af76/cureus-0016-00000061742-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/5dc934837f03/cureus-0016-00000061742-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba98/11226193/77ed04a32bd5/cureus-0016-00000061742-i05.jpg

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