Ponce de León S, Sada Díaz E, Ruiz Palacios G
Arch Inst Cardiol Mex. 1983 Jan-Feb;53(1):45-8.
We describe a case of polimicrobial endocarditis in a patient with congenital aortic stenosis and end-stage renal failure in treatment with steroids and chronic haemodialisis. The blood culture grew e.coli, enterobacter sp, and s.epidermidis. Only a few papers in the literature have been devoted to this entity. Its frequency seems to be progressively higher. The present case is a good example to talk about the predisponent factors. The review of literature has shown that the occurrence of this entity is specially high among addicts, the most frequent bacteria are s.aureus, streptococci and pseudomonas and the mortality can be as high as 80%.
我们描述了一例患有先天性主动脉瓣狭窄和终末期肾衰竭的患者，正在接受类固醇治疗和慢性血液透析，发生了多微生物性心内膜炎。血培养结果显示有大肠杆菌、肠杆菌属和表皮葡萄球菌生长。文献中仅有少数几篇论文涉及这一疾病实体。其发病率似乎呈逐渐上升趋势。本病例是一个探讨易感因素的良好实例。文献综述表明，这种疾病实体在吸毒者中尤为高发，最常见的细菌是金黄色葡萄球菌、链球菌和假单胞菌，死亡率可高达80%。
