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1例静脉吸毒患者在接受AngioVac血管切除术和抗生素治疗后复发铜绿假单胞菌三尖瓣心内膜炎的病例。

A Case of Relapse Pseudomonas aeruginosa Tricuspid Valve Endocarditis After AngioVac Vegectomy and Antibiotic Treatment in a Patient Using Intravenous Drugs.

作者信息

Gaba Parveen, Okoroafor Chidi D, Suryadevara Madhu, Tawadrous Maikel

机构信息

Infectious Disease, Newark Beth Israel Medical Center, Newark, USA.

Internal Medicine, Trinity Health of New England, New Haven, USA.

出版信息

Cureus. 2024 Jul 31;16(7):e65867. doi: 10.7759/cureus.65867. eCollection 2024 Jul.

DOI:10.7759/cureus.65867
PMID:39219916
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11364264/
Abstract

Infective endocarditis (IE) is a bloodstream infection affecting the valves of the heart. IE is highly associated with morbidity and mortality if not properly managed. () as a cause of IE is extremely rare. This is a case of IE involving a male patient with a history of intravenous drug use (IVDU), secondary to with associated relapse of bacteremia and native tricuspid valve endocarditis, complicated by septic pulmonary emboli, despite undergoing recent vegetation debulking using the AngioVac system (AngioDynamics, Inc., New York, USA) along with six weeks of IV antibiotics and no IVDU since then being on treatment.

摘要

感染性心内膜炎(IE)是一种影响心脏瓣膜的血流感染。如果管理不当,IE与发病率和死亡率高度相关。()作为IE的病因极为罕见。这是一例IE病例,患者为男性,有静脉注射毒品史(IVDU),继发于(此处原文缺失相关内容),伴有菌血症复发和原发性三尖瓣心内膜炎,并发感染性肺栓塞,尽管最近使用AngioVac系统(美国纽约的AngioDynamics公司)进行了赘生物减容治疗,并接受了六周的静脉抗生素治疗,且自治疗以来未再进行IVDU。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d23/11364264/2edcc21ac3d5/cureus-0016-00000065867-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d23/11364264/2defed712e07/cureus-0016-00000065867-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d23/11364264/2edcc21ac3d5/cureus-0016-00000065867-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d23/11364264/2defed712e07/cureus-0016-00000065867-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d23/11364264/2edcc21ac3d5/cureus-0016-00000065867-i02.jpg

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A contemporary case series of Pseudomonas aeruginosa infective endocarditis.当代铜绿假单胞菌感染性心内膜炎的病例系列。
Medicine (Baltimore). 2023 Mar 31;102(13):e32662. doi: 10.1097/MD.0000000000032662.
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AngioVac for Vegetation Debulking in Right-sided Infective Endocarditis: A Systematic Review and Meta-Analysis.血管清除术治疗右侧感染性心内膜炎赘生物切除:系统评价和荟萃分析。
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An Invasive Case of Left-Sided Endocarditis Caused by Pseudomonas aeruginosa in a Patient with History of Intravenous Drug Abuse.一名有静脉药物滥用史患者发生的由铜绿假单胞菌引起的左侧感染性心内膜炎侵袭性病例。
Cureus. 2017 Sep 27;9(9):e1717. doi: 10.7759/cureus.1717.
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A novel approach to percutaneous removal of large tricuspid valve vegetations using suction filtration and veno-venous bypass: A single center experience.一种使用抽吸过滤和静脉-静脉旁路经皮清除大型三尖瓣赘生物的新方法:单中心经验。
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