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一名患有人工主动脉瓣且多次植入起搏器的老年女性发生李斯特菌血症伴感染性肱动脉血栓形成及起搏器感染

Listeria Bacteremia With Septic Brachial Artery Thrombosis and Pacemaker Infection in an Elderly Woman With a Prosthetic Aortic Valve and Recurrent Pacemaker Implantation.

作者信息

Merchant Abbas, Rahman Haashim, Patel Aaryan, Nagendran Adithya, Murthy Anushree V, Hanif Umar, Merchant Rida, Rahman Hira, Deshmukh Ishan, Lambroussis Constantino G

机构信息

Anesthesiology, Lake Erie College of Osteopathic Medicine, Erie, USA.

Physical Medicine and Rehabilitation, Lake Erie College of Osteopathic Medicine, Erie, USA.

出版信息

Cureus. 2025 Jul 1;17(7):e87139. doi: 10.7759/cureus.87139. eCollection 2025 Jul.

DOI:10.7759/cureus.87139
PMID:40755612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12313430/
Abstract

A 77-year-old female with a history of coronary artery disease status post-coronary artery bypass grafting, aortic stenosis treated with transcatheter aortic valve replacement, and recent dual-chamber pacemaker implantation for high-grade atrioventricular block presented with recurrent syncope, right brachial artery thrombosis, and persistent bacteremia. Blood and thrombus cultures grew , leading to pacemaker extraction and a prolonged course of antibiotic therapy. This case illustrates the diagnostic challenges associated with systemic infections in patients with prosthetic devices and emphasizes the importance of early blood culture collection in patients with unexplained clinical symptoms.

摘要

一名77岁女性，有冠状动脉疾病史，曾接受冠状动脉搭桥手术，患有主动脉狭窄并接受经导管主动脉瓣置换术，近期因高度房室传导阻滞植入双腔起搏器，现出现反复晕厥、右肱动脉血栓形成和持续性菌血症。血液和血栓培养结果显示……，导致起搏器取出及延长抗生素治疗疗程。本病例说明了假体装置患者全身性感染相关的诊断挑战，并强调了对有不明原因临床症状患者早期采集血培养的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/e669cfd94f43/cureus-0017-00000087139-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/034b9725c1de/cureus-0017-00000087139-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/d60838dda8fc/cureus-0017-00000087139-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/4e56ca94832a/cureus-0017-00000087139-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/6ace0f6f745a/cureus-0017-00000087139-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/e669cfd94f43/cureus-0017-00000087139-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/034b9725c1de/cureus-0017-00000087139-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/d60838dda8fc/cureus-0017-00000087139-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/4e56ca94832a/cureus-0017-00000087139-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/6ace0f6f745a/cureus-0017-00000087139-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/888f/12313430/e669cfd94f43/cureus-0017-00000087139-i05.jpg

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Cureus. 2024 Nov 2;16(11):e72870. doi: 10.7759/cureus.72870. eCollection 2024 Nov.
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Racial and Socioeconomic Determinants of Cardiovascular Health: A Comprehensive Review.心血管健康的种族和社会经济决定因素：一项综合综述。
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Epidemiologic and Clinical Characteristics of Marantic Endocarditis: A Systematic Review and Meta-analysis of 416 Reports.
消耗性心内膜炎的流行病学和临床特征：对416份报告的系统评价和荟萃分析
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Arterial occlusion due to Listeria meningoencephalitis in an immunocompromised boy.一名免疫功能低下男孩因李斯特菌性脑膜脑炎导致动脉闭塞。
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