Salmonella Endocarditis: Rare Bacteremia Causing Mural Infective Endocarditis.

IF 1 Q4 INFECTIOUS DISEASES
Case Reports in Infectious Diseases Pub Date : 2025-04-14 eCollection Date: 2025-01-01 DOI:10.1155/crdi/3830316
Seth Krueger, Michael Carcella, Caroline Dillon, Darrell McBride
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引用次数: 0

Abstract

Current guidelines do not recommend routine cardiac imaging in patients with gram-negative bacteremia, as gram-negative infective endocarditis is rare. Nongastrointestinal Salmonella infections causing endocarditis are even more uncommon, especially in the developed world. We present the case of a 60-year-old female with Salmonella bacteremia, ultimately found to have a right atrial mural endocarditis involving an implantable cardioverter-defibrillator and an indwelling venous catheter. The vegetation and indwelling devices were removed from the operating room due to the high concern of embolization if performed percutaneously, and she completed 6 weeks of antibiotic therapy. Both indwelling devices were later replaced once treatment was completed, and there was no evidence of recurrence at the 8-month follow-up. This case proves that in those with cardiac implantable electronic devices and other indwelling devices which enter the heart, who are found to have atypical bacteremia, may benefit from cardiac imaging as a part of their workup.

沙门氏菌心内膜炎:引起壁性感染性心内膜炎的罕见菌血症。
目前的指南不推荐对革兰氏阴性菌血症患者进行常规心脏影像学检查,因为革兰氏阴性感染性心内膜炎是罕见的。引起心内膜炎的非肠道沙门氏菌感染更为罕见,尤其是在发达国家。我们提出的情况下,60岁的女性沙门氏菌血症,最终发现有一个右心房壁心内膜炎涉及植入式心律转复除颤器和留置静脉导管。由于担心经皮穿刺会引起栓塞,我们将植体和留置器移出手术室,并完成了6周的抗生素治疗。治疗完成后,两种留置装置均被更换,在8个月的随访中没有复发的迹象。本病例证明,在心脏植入电子设备和其他进入心脏的留置设备的患者中,如果发现有非典型菌血症,心脏成像作为其检查的一部分可能会受益。
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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64
审稿时长
13 weeks
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