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鼠李糖乳杆菌感染性心内膜炎并发免疫功能正常患者的多灶性真菌性动脉瘤:病例报告

Lacticaseibacillus rhamnosus Infective Endocarditis Complicated by Multifocal Mycotic Aneurysms in an Immunocompetent Patient: A Case Report.

作者信息

Ito Taichi, Okuyama Michihiro, Takahashi Yu, Ohkusu Kiyofumi, Yokota Kyoko

机构信息

Department of Respirology, Kagawa Prefectural Central Hospital, Takamatsu, JPN.

Department of Cardiovascular Surgery, Kagawa Prefectural Central Hospital, Takamatsu, JPN.

出版信息

Cureus. 2024 Aug 28;16(8):e68056. doi: 10.7759/cureus.68056. eCollection 2024 Aug.

DOI:10.7759/cureus.68056
PMID:39347232
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11436282/
Abstract

are generally considered low-pathogenicity organisms but can occasionally cause severe infections. We report a severe case of infective endocarditis caused by complicated by multifocal mycotic aneurysms in an immunocompetent patient who consumed probiotic drinks daily. He had a history of hypertension and aortic valve regurgitation.After starting antimicrobial treatment, the patient had rapid disease progression and required emergency surgery to prevent the rupture of two abdominal aneurysms. He subsequently experienced a rupture of an intracranial aneurysm, leading to a subarachnoid and intraventricular hemorrhage. This case highlights the potential severity of infections, even in immunocompetent individuals with daily probiotic consumption. Interest in the health benefits of probiotics has grown in recent years, leading to increased global demand. The number of reported cases of infections has also increased. When using probiotics, both the potential benefits and risks need to be considered, especially in susceptible individuals with predisposing conditions.

摘要

通常被认为是低致病性微生物,但偶尔也会引起严重感染。我们报告了一例严重的感染性心内膜炎病例,该病例由一名每天饮用益生菌饮料的免疫功能正常患者并发多灶性真菌性动脉瘤引起。他有高血压和主动脉瓣反流病史。开始抗菌治疗后,患者病情迅速进展,需要紧急手术以防止两个腹部动脉瘤破裂。随后他发生了颅内动脉瘤破裂,导致蛛网膜下腔和脑室内出血。该病例突出了即使在每天食用益生菌的免疫功能正常个体中,感染也可能具有的潜在严重性。近年来,人们对益生菌健康益处的兴趣有所增加,导致全球需求上升。报告的感染病例数量也有所增加。使用益生菌时,需要同时考虑潜在的益处和风险,尤其是在有易感因素的易感个体中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230a/11436282/aca3c393cece/cureus-0016-00000068056-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230a/11436282/1c84f24e98bb/cureus-0016-00000068056-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230a/11436282/27a7fe02548f/cureus-0016-00000068056-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230a/11436282/aca3c393cece/cureus-0016-00000068056-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230a/11436282/1c84f24e98bb/cureus-0016-00000068056-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230a/11436282/27a7fe02548f/cureus-0016-00000068056-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/230a/11436282/aca3c393cece/cureus-0016-00000068056-i03.jpg

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本文引用的文献

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Clostridium butyricum Bacteremia Associated with Probiotic Use, Japan.丁酸梭菌菌血症与益生菌使用相关,日本。
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Lactobacillus endocarditis: a case report in France and literature review.乳酸杆菌性心内膜炎:法国的一例病例报告及文献综述
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