Successful Surgical Treatment of Mitral Valve Endocarditis Caused by Brucella: A Case Report.

IF 0.7 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Jianmao Hong, Bijun Xu, Ximing Qian, Fan He
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引用次数: 1

Abstract

Brucellosis endocarditis is a rare but life-threatening complication of brucellosis, involving congenital, prosthetic and even native valves. Its diagnosis and treatment is a great challenge for doctors. The patient's prognosis requires prompt diagnosis and continuous evaluation of treatment plans to assess the need for either surgical intervention of the infected valves or continuation of antibiotic therapy alone. We present a patient with brucellosis endocarditis, predominantly involving the mitral valve, presenting with vegetations and prolapse of the anterior leaflet of the mitral valve with moderate to severe regurgitation. The patient was treated with triple antibiotic therapy before surgery. After the patient's blood culture results were negative, we removed the infected mitral valve vegetations and performed a mitral valve replacement. The patient was successfully extubated 4 hours after surgery and discharged 11 days after surgery. After discharge, the patient continued to receive triple antibiotic therapy for 2 months and was followed up at the cardiac surgery and infectious disease outpatient clinics.

布氏菌所致二尖瓣心内膜炎手术治疗成功1例。
布鲁氏菌病心内膜炎是一种罕见但危及生命的布鲁氏菌病并发症,涉及先天性、假体甚至天然瓣膜。它的诊断和治疗对医生来说是一个巨大的挑战。患者的预后需要及时诊断和持续评估治疗方案,以评估是否需要对感染瓣膜进行手术干预或继续单独使用抗生素治疗。我们报告一位患有布鲁氏菌病心内膜炎的患者,主要累及二尖瓣,表现为二尖瓣前部小叶的赘生物和脱垂,伴有中度至重度的反流。患者术前接受三联抗生素治疗。在患者的血培养结果为阴性后,我们切除了感染的二尖瓣植被并进行了二尖瓣置换术。患者术后4小时成功拔管,术后11天出院。出院后,患者继续接受三联抗生素治疗2个月,并在心脏外科和传染病门诊随访。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Heart Surgery Forum
Heart Surgery Forum 医学-外科
CiteScore
1.20
自引率
16.70%
发文量
130
审稿时长
6-12 weeks
期刊介绍: The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.
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