Rabinovich David, Yazigi Majed, Yazigi Angela, Zainah Hadeel
Internal Medicine Residency Program-Brown University Kent Hospital.
Al-Baath University.
J Brown Hosp Med. 2023 Jun 9;2(3):77739. doi: 10.56305/001c.77739. eCollection 2023.
We present a 20-year-old male who was admitted with recurrent fevers. He was diagnosed with Haemophilus parainfluenzae mitral valve endocarditis with severe regurgitation and perforated leaflet. H. parainfluenzae was resistant to ceftriaxone but repeated sensitivities showed a sensitive organism. Despite endocarditis caused by H. parainfluenzae is rare, physicians should be vigilant of such diagnosis. Antibiotics sensitivity may be questioned if shows a resistant organism.
我们报告一名20岁男性，因反复发热入院。他被诊断为副流感嗜血杆菌性二尖瓣心内膜炎，伴有严重反流和瓣叶穿孔。副流感嗜血杆菌对头孢曲松耐药，但多次药敏试验显示该菌敏感。尽管副流感嗜血杆菌引起的心内膜炎很少见，但医生仍应警惕这种诊断。如果显示为耐药菌，则抗生素敏感性可能存疑。
