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首页> 外文期刊>Journal of cardiac surgery. >Prosthetic valve endocarditis caused by metallo-beta-lactamase-producing Pseudomonas aeruginosa.
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Prosthetic valve endocarditis caused by metallo-beta-lactamase-producing Pseudomonas aeruginosa.

机译:人工瓣膜心内膜炎由产生金属β-内酰胺酶的铜绿假单胞菌引起。

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摘要

Prosthetic valve endocarditis (PVE) caused by Pseudomonas aeruginosa is a rare but life-threatening complication. Early surgical intervention, as well as appropriate antimicrobial therapy, is usually necessary. Recently, problems have arisen regarding infection with P. aeruginosa, which produces metallo-beta-lactamase (MBL) and is resistant to virtually all beta-lactams. This organism has rapidly spread through many countries. Here, we report the first case of successful redo aortic valve replacement using a Prima Plus stentless valve (Edwards Lifesciences, Irvine, CA, USA) followed by a 6-week course of ciprofloxacin and gentamicin for early PVE caused by MBL-producing P. aeruginosa.
机译:由铜绿假单胞菌引起的人工瓣膜心内膜炎(PVE)是一种罕见但危及生命的并发症。通常需要早期手术干预以及适当的抗菌治疗。近来,关于铜绿假单胞菌的感染已经出现问题,其产生金属-β-内酰胺酶(MBL)并且实际上对所有β-内酰胺都有抗性。这种生物已迅速传播到许多国家。在这里,我们报道了使用Prima Plus无支架瓣膜成功修复重做主动脉瓣的首例病例(Edwards Lifesciences,Irvine,CA,USA),随后进行了为期6周的环丙沙星和庆大霉素治疗因MBL产生的P引起的早期PVE。铜绿。

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