Sharma Nava R, Pokhrel Madalasa, Lamichhane Prakriti, Kuhn-Basti Margaret
Internal Medicine, Maimonides Medical Center, Brooklyn, USA.
Medicine, Manipal College of Medical Sciences, Pokhara, NPL.
Cureus. 2024 Sep 25;16(9):e70154. doi: 10.7759/cureus.70154. eCollection 2024 Sep.
Infective endocarditis is a serious infection of the endocardial surface of the heart, most commonly involving the heart valves. species, particularly , are significant but less common causes of infective endocarditis. can become pathogenic, especially in immunocompromised patients or those with recent surgical interventions. Due to the bacteria's intrinsic resistance to many antibiotics, including cephalosporins, and low-level resistance to aminoglycosides, the treatment can be complicated. This case illustrates the progression of a patient from a relatively routine gynecological procedure to severe complications, including infective endocarditis, severe aortic regurgitation, and a cerebellar stroke. It also highlights the importance of vigilant monitoring for embolic events, particularly in those with recent surgical history, and the critical role of a multidisciplinary approach in managing such complex clinical scenarios.
感染性心内膜炎是心脏内膜表面的一种严重感染，最常累及心脏瓣膜。某些菌种，特别是[具体菌种未提及]，是感染性心内膜炎的重要但较不常见的病因。[具体菌种未提及]可成为致病菌，尤其是在免疫功能低下的患者或近期接受手术干预的患者中。由于该细菌对包括头孢菌素在内的许多抗生素具有固有耐药性，且对氨基糖苷类药物具有低水平耐药性，治疗可能会很复杂。本病例说明了一名患者从相对常规的妇科手术发展为严重并发症的过程，包括感染性心内膜炎、严重主动脉瓣反流和小脑中风。它还强调了对栓塞事件进行密切监测的重要性，特别是在有近期手术史的患者中，以及多学科方法在管理此类复杂临床情况中的关键作用。
