心导管术后快速生长的非结核分枝杆菌引发的感染性心内膜炎病例

SM Nurul Huda, Mohammad Faisal Ibn Kabir, Md Fakhrul Islam Khaled, Afm Azim Anwar, Md Rasul Amin
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引用次数: 0

摘要

由非结核分枝杆菌引起的心内膜炎非常罕见,如果没有适当的血液培养,往往会被漏诊。它对标准的抗结核治疗无效,对许多其他抗生素也有抗药性。该病的病程可能比较缓慢,但往往会导致死亡。在此,我们报告了一例免疫功能正常的患者在冠状动脉造影术后发生原位主动脉瓣非结核分枝杆菌性心内膜炎的病例。该病例突显了与介入治疗相关的一种不幸的院内感染,以及对这种病原体进行化疗的困难,尤其是在存在骨髓抑制和急性间质性肾炎的情况下。大学心脏杂志,2023;19(1):31-34
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A Case of Infective Endocarditis Caused by Rapidly Growing Non-tuberculous Mycobacterium after Cardiac Catheterization
Endocarditis caused by non-tuberculous mycobacterium is rare and often missed without appropriate blood cultures. It does not respond to standard antitubercular treatment and is also resistant to many other antibiotics. The course of the disease may be indolent and often results in a fatal outcome. Here we report a case of Nontuberculous mycobacterial endocarditis of the native aortic valve in an immunocompetent patient following coronary angiography. The case highlights an unfortunate intervention – related nosocomial infection and the difficulties in chemotherapeutic options for this organism, particularly in the presence of marrow suppression and acute interstitial nephritis. University Heart Journal 2023; 19(1): 31-34
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