心脏植入式电子装置患者的棒状杆菌心内膜炎

S. Alkan, U. Küçük, S. Şahin, T. Önder
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引用次数: 0

摘要

心脏植入式电子装置(CIED)感染在世界范围内呈上升趋势。许多微生物可导致这种疾病。棒状杆菌是过氧化氢酶阳性的革兰氏阳性杆菌,也被称为“类白喉”或“棒状”细菌,当从患者身上恢复时,它们曾经几乎被普遍认为是污染,但现在它们越来越多地与严重感染有关,并且具有形成生物膜的能力,很少引起CIED感染,这可能并发感染性心内膜炎。棒状杆菌在血液培养中作为污染物经常被忽视,但它们可以引起严重的感染性心内膜炎(IE)。棒状杆菌对抗生素的耐药性正在增加,这使得治疗更具挑战性。棒状杆菌引起的IE报道较少,有待进一步研究。在此,我们报告一例55岁男性与心脏装置相关的棒状杆菌感染性心内膜炎。
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Corynebacterium endocarditis in a patient with a cardiac implantable electronic device
Cardiac implantable electronic device (CIED) infections have been rising around the world. Many microorganisms can lead to this disease. Corynebacterium species are catalase-positive Gram-positive bacilli, also known as "diphtheroids" or "coryneform" bacteria, were once almost universally dismissed as contamination when recovered from patients, but they are now increasingly being linked to serious infections and have the ability to form biofilms and rarely cause CIED infections and this can be complicated as infective endocarditis. Corynebacterium spp. are frequently overlooked as contaminants in blood cultures, yet they can cause a serious infective endocarditis (IE). Antibiotic resistance is increasing among Corynebacterium spp., and this makes treatment more challenging. There are few reports of IE caused by Corynebacterium spp., and more research is needed. Here, we report a case of 55- year old man with Corynebacterium spp. cardiac device-related infective endocarditis.
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