Vázquez E, Carazo I, Martín A, Lozano C, Cuesta I, Pagola C
Unidade de Cardiología, Hospital General de Especialidades Ciudad de Jaén.
Enferm Infecc Microbiol Clin. 1998 May;16(5):237-8.
Leuconostoc spp. are gram-positive coccobacilli, catalase and oxidase negative, vancomycin resistant, with a not clearly defined role in human infectious. Cases of infection have been reported previously but it has not been described confirmed infective endocarditis due to Leuconostoc mesenteroides.
We describe a case of prosthetic valve endocarditis in a 72-years-old woman with a long previous history of cardiac disease but without other immunological disorders. She developed a heart failure because of prosthetic aortic valve dysfunction.
Leuconostoc mesenteroides should be considered as a potential cause of infective endocarditis and listed in the group of vancomycin-resistant microorganism.
明串珠菌属是革兰氏阳性球杆菌,过氧化氢酶和氧化酶阴性,耐万古霉素,在人类感染中的作用尚不明确。此前已有感染病例报道,但尚未有因肠系膜明串珠菌导致确诊感染性心内膜炎的描述。
我们描述了一例72岁女性人工瓣膜心内膜炎病例,该患者既往有长期心脏病史,但无其他免疫性疾病。她因人工主动脉瓣功能障碍出现心力衰竭。
肠系膜明串珠菌应被视为感染性心内膜炎的潜在病因,并列入耐万古霉素微生物组。