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2024年至2025年,英国无家可归的药物使用人群中出现的毒素阴性暴发性感染性心内膜炎。

Fulminant infective endocarditis with toxin-negative in people with substance use experiencing homelessness, England, 2024 to 2025.

作者信息

Patel Tara, Anwar Tasnim, Mavrogiorgou Eleni, Utjesanovic Natasa, Aryee Anna, Litt David J, D'Aeth Joshua C, Primus Christopher, Das Satya, Karogiannis Nikolaos, Paranthaman Karthik, Amirthalingam Gayatri, Cordery Rebecca

机构信息

UK Health Security Agency, London, United Kingdom.

These authors contributed equally to this work and share first authorship.

出版信息

Euro Surveill. 2025 Apr;30(13). doi: 10.2807/1560-7917.ES.2025.30.13.2500148.

DOI:10.2807/1560-7917.ES.2025.30.13.2500148
PMID:40183124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11969966/
Abstract

Between July 2024 and January 2025, five male patients in their early 20s to early 50s were confirmed with infective endocarditis associated with non-toxigenic in England. Three were known to have experienced homelessness. All five used non-intravenous recreational drugs. Disease progression was rapid, four patients required surgical intervention, one died. Whole-genome sequencing and multilocus sequence type (MLST) analysis identified four individuals as ST559. Clinicians and substance use services have been alerted and enhanced surveillance implemented. A prevalence study is planned.

摘要

在2024年7月至2025年1月期间,英国有5名年龄在20岁出头至50岁出头的男性患者被确诊患有与非产毒型相关的感染性心内膜炎。其中3人有过无家可归的经历。所有5人都使用非静脉注射的消遣性药物。疾病进展迅速,4名患者需要手术干预,1人死亡。全基因组测序和多位点序列分型(MLST)分析确定4人为ST559型。已向临床医生和物质使用服务机构发出警报并实施了强化监测。计划开展一项患病率研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e9b/11969966/a8b92e72c987/2500148-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e9b/11969966/a8b92e72c987/2500148-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e9b/11969966/a8b92e72c987/2500148-f1.jpg

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Cluster of Nontoxigenic Corynebacterium diphtheriae Infective Endocarditis and Rising Background C. diphtheriae Cases-Seattle, Washington, 2020-2023.非致细胞毒素性白喉棒状杆菌感染性心内膜炎聚集病例和不断增加的背景白喉棒状杆菌病例——华盛顿州西雅图,2020-2023 年。
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Corynebacterium diphtheriae endocarditis: a case series and review of the treatment approach.白喉棒状杆菌心内膜炎:病例系列及治疗方法综述。
Int J Infect Dis. 2011 Sep;15(9):e584-8. doi: 10.1016/j.ijid.2011.04.003. Epub 2011 Jun 8.
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Multilocus sequence typing identifies evidence for recombination and two distinct lineages of Corynebacterium diphtheriae.多位点序列分型鉴定出白喉棒状杆菌存在重组证据和两个不同的谱系。
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