Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, PR China; Intensive Care Unit, West China Tianfu Hospital, Sichuan University, Chengdu, PR China.
Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China; Department of Cardiovascular Surgery, West China Tianfu Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Diagn Microbiol Infect Dis. 2024 Sep;110(1):116285. doi: 10.1016/j.diagmicrobio.2024.116285. Epub 2024 Apr 28.
Parvimonas micra, a gram-positive anaerobic bacterium, has garnered increased attention due to its role in infective endocarditis. We present a challenging prosthetic valve endocarditis caused by Parvimonas micra in a patient with a complex cardiac history involving multiple surgeries. The case highlights the difficulties in diagnosis and treatment, emphasizing the importance of advanced diagnostic techniques, including metagenomics next-generation sequencing (mNGS). Additionally, it underscores the need for heightened vigilance regarding oral symptoms and the potential risk of bacteremia in post-valvular surgery patients. This report contributes to a better understanding of Parvimonas micra-associated endocarditis and its unique characteristics.
小韦荣球菌，一种革兰阳性厌氧细菌，因其在感染性心内膜炎中的作用而受到越来越多的关注。我们报告了一例由小韦荣球菌引起的具有挑战性的人工瓣膜心内膜炎，该患者具有复杂的心脏病史，涉及多次手术。该病例突出了诊断和治疗的困难，强调了先进诊断技术的重要性，包括宏基因组下一代测序（mNGS）。此外，它还强调了在后瓣膜手术患者中对口腔症状和菌血症潜在风险保持高度警惕的必要性。本报告有助于更好地了解小韦荣球菌相关性心内膜炎及其独特特征。
