...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical Medicine Research >Ischemic Stroke and Septic Shock After Subacute Endocarditis Caused by Haemophilus parainfluenzae : Case Report
【24h】

Ischemic Stroke and Septic Shock After Subacute Endocarditis Caused by Haemophilus parainfluenzae : Case Report

机译：副流感嗜血杆菌引起的亚急性心内膜炎后缺血性中风和脓毒性休克：病例报告

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Haemophilus parainfluenzae, which belongs to the HACEK (Haemophilus ssp, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae) group, is a rare cause of subacute endocarditis and may lead to ischemic stroke. A 65-year-old female patient previously diagnosed with rheumatic valve disease was submitted to surgical mitral valve repair in 1996. Physical examination did not reveal any murmurs; physical examination of the lungs and abdomen was normal. The patient was admitted to hospital with progressive dyspnea, dry cough, and fever. Transesophageal echocardiogram revealed an approximately 8-mm filamentous image with chaotic motion in the ventricular face of the anterior mitral valve leaflet compatible with vegetation. Treatment with ceftriaxone and gentamicin was initiated.Haemophilus parainfluenzae grew in five blood culture samples. Along the hospital stay, the patient’s level of consciousness decreased, and she was diagnosed with ischemic stroke of cardioembolic etiology. The patient developed septic shock refractory to the prescribed treatment and died 12 days after admission. Even though the patient started being treated for endocarditis before the infectious agent was identified, the prompt use of antimicrobials hindered the growth of Haemophilus parainfluenzae and made its isolation difficult.J Clin Med Res. 2017;9(1):71-73doi: https://doi.org/10.14740/jocmr2703w
机译：副流感嗜血杆菌属于HACEK（嗜血杆菌属菌种，放线杆菌，放线杆菌，人型杆菌，腐蚀克罗恩氏菌和金氏菌），是亚急性心内膜炎的罕见病因，可能导致缺血性中风。一名先前被诊断患有风湿性瓣膜病的65岁女性患者于1996年接受外科二尖瓣修复术。体格检查未发现任何杂音。肺和腹部的身体检查正常。该患者因进行性呼吸困难，干咳和发烧入院。经食管超声心动图检查发现，在与植物相容的二尖瓣前瓣小叶的心室面中，出现了大约8毫米的丝状图像，运动混乱。开始用头孢曲松和庆大霉素进行治疗。副流感嗜血杆菌在五个血液培养样品中生长。在住院期间，患者的意识水平下降，并且被诊断出患有心脏栓塞病因的缺血性中风。患者发展为对处方治疗难以治疗的败血性休克，入院后12天死亡。即使在确定感染原之前就开始对心内膜炎进行治疗，但抗菌药物的及时使用阻碍了副流感嗜血杆菌的生长，并使其分离变得困难。 2017; 9（1）：71-73doi：https://doi.org/10.14740/jocmr2703w

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号