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首页> 外文期刊>感染症学雑誌 >One case with Erysipelothrix rhusiopathiae endocarditis
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One case with Erysipelothrix rhusiopathiae endocarditis

机译：丹毒丝菌性红斑病心内膜炎1例

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摘要

We report case of a 67-year-old alcoholic fisherman who developed infective endocarditis caused by Erysipelothrix rhusiopathiae. The initial manifestations were fever and back pain of approximately three months' duration. Auscultation of the heart revealed a loud systolic murmur at the apex and a diastolic murmur over the aortic valve area. Echocardiographic studies showed vegetations on both the aortic valve and mitral valve. Blood cultures grew Erysipelothrix rhusiopathiae, and it was sensitive to aminobenzyl penicillin. No other bacteria grew aut. A diagnosis of infective endocarditis caused by the Erysipelothnx rhusiopatniae was made, and the patient was treated with aminobenzyl penicillin 12g/day for 6 weeks. His clinical course was complicated by heart failure, multiple cerebral embolism, and renal infarctions. However, he recovered without valve replacement. Although the exact route of infection remains unknown, erosions of the skin, of his palms at the time of tho initial examination appeared to be one possible source of the systemic infection in this case. The serotype of the bacteria was Ib. To our knowledge this is the first case of serotyping of bacterium that caused endocarditis in humans.
机译：我们报告了一名67岁的酒精渔民的案例，该渔民发生了由丹毒丹毒引起的感染性心内膜炎。最初的表现是发烧和持续三个月左右的背痛。心脏听诊发现，在心尖部出现较大的收缩期杂音，在主动脉瓣区上方出现舒张期杂音。超声心动图研究显示主动脉瓣和二尖瓣上均有植被。血液培养物中生长出红斑丹毒菌，并且对氨基苄青霉素敏感。没有其他细菌生长自闭症。诊断为由大叶红斑丹毒引起的感染性心内膜炎，该患者接受氨基苄青霉素12g /天治疗6周。他的临床过程因心力衰竭，多发性脑栓塞和肾梗塞而复杂化。但是，他没有更换瓣膜就康复了。尽管尚不清楚确切的感染途径，但在这种情况下，初次检查时皮肤和手掌的糜烂似乎是全身感染的一种可能来源。细菌的血清型是Ib。据我们所知，这是引起人类心内膜炎的细菌血清分型的第一例。

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