因特定菌种导致的植入式心脏除颤器导线感染性心内膜炎：一名免疫功能正常男性的罕见病例。
Implantable Cardiac Defibrillator Lead Infective Endocarditis Due to Specie: A Rare Case in An Immunocompetent Man.
作者信息
Obi Chukwuemeka A, Egbuche Obiora, Nwokike Shirley I, Mezue Kenechukwu, Abe Temidayo, Bulsara Kishen, Olanipekun Titilope, Onuorah Ifeoma
机构信息
Division of Cardiovascular Medicine, Medical University of South Carolina, Charleston, SC 29425, USA.
Division of Cardiovascular Medicine, Ohio State University, Columbus, OH 43210, USA.
出版信息
Rev Cardiovasc Med. 2022 Apr 24;23(5):149. doi: 10.31083/j.rcm2305149. eCollection 2022 May.
BACKGROUND
species are known to cause dental caries and periodontal disease, and infrequently cause native or prosthetic valve endocarditis mostly in immunocompromised persons. With an increasing use of implantable cardiac devices, early clinical suspicion and a rapid diagnosis of endocarditis is essential for optimal treatment to reduce complications and mortality. Bacteremic infection with in immunocompetent persons is uncommon. Pacemaker lead-related endocarditis caused by Rothia spp. is rare and management guidelines are not defined.
CASE PRESENTATION
We report a rare case of implantable cardiac defibrillator (ICD) lead endocarditis in an immunocompetent patient that was caused by .
CONCLUSIONS
Clinicians should be aware of this rare cause of CIED lead infections and should be acquainted with the optimal strategies of prompt antibiotic therapy and removal of the infected device/leads.
背景
已知某些菌种可导致龋齿和牙周疾病，且在免疫功能低下者中偶尔会引起自体瓣膜或人工瓣膜心内膜炎。随着植入式心脏装置使用的增加，早期临床怀疑和心内膜炎的快速诊断对于优化治疗以减少并发症和死亡率至关重要。免疫功能正常者发生由该菌引起的菌血症感染并不常见。由罗氏菌属引起的起搏器导线相关性心内膜炎罕见，且未制定管理指南。
病例报告
我们报告一例免疫功能正常患者发生的罕见的由该菌引起的植入式心脏除颤器（ICD）导线心内膜炎病例。
结论
临床医生应意识到这种导致心脏植入电子装置（CIED）导线感染的罕见原因，并应熟悉及时进行抗生素治疗和移除感染装置/导线的最佳策略。
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