Siagh Selma, Belharty Najlaa, Rami Hasna, Doghmi Nawal, Cherti Mohamed
Department of Cardiology B, Ibn Sina Hospital, Rabat, MAR.
Cureus. 2024 Nov 3;16(11):e72936. doi: 10.7759/cureus.72936. eCollection 2024 Nov.
an opportunist pathogen mainly isolated in healthcare-associated infections, is a rare cause of infective endocarditis (IE) that generates an increased mortality rate compared to the usual agents. We report a case of a 70-year-old male patient who underwent a mitral valve replacement and was readmitted two months later with a high-grade continuous fever and deterioration of the general status. The diagnosis of early IE due to was established upon further investigation. The patient was treated with ertapenem and underwent surgery. Nevertheless, the prognosis was not favorable. Due to the rarity of similar presentations and the grim prognosis that IE portends, further investigation on this subject is warranted. This can aid in preventing future occurrences and help issue guidelines for therapeutic management, especially in patients with prosthetic valves.
一种主要在医疗保健相关感染中分离出的机会性病原体，是感染性心内膜炎（IE）的罕见病因，与常见病原体相比，其导致的死亡率更高。我们报告一例70岁男性患者，该患者接受了二尖瓣置换术，两个月后因高热持续不退和全身状况恶化再次入院。经进一步检查确诊为因该病原体导致的早期感染性心内膜炎。患者接受了厄他培南治疗并接受了手术。然而，预后并不乐观。由于类似病例罕见且该病原体所致感染性心内膜炎预后严峻，因此有必要对该主题进行进一步研究。这有助于预防未来的发生，并有助于制定治疗管理指南，尤其是对于人工瓣膜患者。
