Suzuki Fumitaka, Tsutsui Masahiro, Isa Hideki, Kunioka Shingo, Kamiya Hiroyuki
Cardiac Surgery, Asahikawa Medical University, Asahikawa, JPN.
Cureus. 2024 Jun 25;16(6):e63146. doi: 10.7759/cureus.63146. eCollection 2024 Jun.
, often referred to as nutritionally variant streptococci, is generally a benign part of human microflora, primarily found in the oral cavity, digestive tract, and genitourinary system. However, it can have a significant role in infectious endocarditis (IE). We discuss a case involving a 53-year-old male who displayed serious signs indicative of IE. The individual, who had a history of IgA nephropathy, underwent successful surgical and antibiotic intervention. Given the challenge in treating due to its high antibiotic resistance and the tendency for embolic events and treatment failure, a multidimensional approach involving surgical intervention and specific antibiotic therapy resulted in a successful outcome. This case underlines the need for early identification, immediate treatment, and additional research to understand better and manage endocarditis.
通常被称为营养变异链球菌，一般是人类微生物群的良性组成部分，主要存在于口腔、消化道和泌尿生殖系统。然而，它在感染性心内膜炎（IE）中可能起重要作用。我们讨论一例涉及一名53岁男性的病例，该男性表现出提示IE的严重体征。该个体有IgA肾病病史，接受了成功的手术和抗生素干预。鉴于因其高抗生素耐药性以及栓塞事件和治疗失败的倾向而在治疗方面面临挑战，采用包括手术干预和特定抗生素治疗的多维度方法取得了成功结果。该病例强调了早期识别、立即治疗以及开展更多研究以更好地了解和管理心内膜炎的必要性。
