Holm A M, Berild D
Medisinsk klinikk Aker sykehus, Oslo.
Tidsskr Nor Laegeforen. 1997 Feb 28;117(6):815-7.
The incidence of invasive infections caused by Streptococcus pneumoniae has increased dramatically in Norway the last 5-10 years. We describe a patient with a pneumococcal endocarditis of the tricuspic valve who illustrates some of the diagnostic and therapeutic problems often connected with right-sided endocarditis. We also review literature on pneumococcal endocarditis. Since the introduction of antibiotics, the incidence of pneumococcal endocarditis has decreased significantly. The most important predisposition still seems to be alcoholism. Cases of pneumococcal endocarditis require prolonged and consistent antibiotic treatment. Rapid destruction of the valves is typical, and often demands surgical intervention at an early stage. So far no multiresistant pneumococci have been observed in Norway. The increased incidence of serious pneumococcal infections has recently made it necessary to recommend that pneumococcal vaccine be given on wider indications.
在过去5至10年中，挪威由肺炎链球菌引起的侵袭性感染发病率急剧上升。我们描述了一名患有三尖瓣肺炎球菌性心内膜炎的患者，该患者体现了一些常与右侧心内膜炎相关的诊断和治疗问题。我们还回顾了关于肺炎球菌性心内膜炎的文献。自抗生素问世以来，肺炎球菌性心内膜炎的发病率已显著下降。最重要的易感因素似乎仍然是酗酒。肺炎球菌性心内膜炎病例需要长期且持续的抗生素治疗。瓣膜的快速破坏很典型，且常常需要在早期进行手术干预。到目前为止，挪威尚未观察到多重耐药肺炎球菌。严重肺炎球菌感染发病率的上升最近使得有必要建议在更广泛的适应症下接种肺炎球菌疫苗。
