新型隐球菌致人工瓣膜心内膜炎1例。

U Banerjee, K Gupta, P Venugopal
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引用次数: 0

摘要

本文报道一例由新型隐球菌引起的人工瓣膜心内膜炎。二尖瓣闭合性切开术和瓣膜假体置入后感染。术后2周出现感染。诊断是基于在临床材料中具有特征形态的酵母菌的直接证明,从动脉血栓中分离出来,并在血清中检测到隐球菌抗原。尽管进行了抗真菌治疗,患者的感染仍未得到解决。
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A case of prosthetic valve endocarditis caused by Cryptococcus neoformans var. neoformans.

A case of prosthetic valve endocarditis caused by Cryptococcus neoformans var. neoformans is described. The infection followed closed mitral valvotomy and insertion of a valvular prosthesis. Infection was manifested 2 weeks after the operation. The diagnosis was based on direct demonstration of the yeast with characteristic morphology in clinical material, isolation from an arterial thrombus and detection of cryptococcal antigen in the serum. The patient's infection could not be resolved despite institution of antifungal therapy.

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