肠炎沙门氏菌ST11人工瓣膜心内膜炎并发瓣旁脓肿1例报告并文献复习

Shiori Kitaya, S. Katahira, Hiroaki Baba, Y. Saiki, Yukio Katori, K. Tokuda, Hajime Kanamori
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引用次数: 0

摘要

沙门氏菌感染通常会引起自限性胃肠炎。然而,在极少数情况下,它可以导致人工瓣膜心内膜炎(PVE),特别是在有瓣膜置换术史的老年人中。在这个案例研究中,我们描述了一例沙门氏菌PVE在一个人与假主动脉瓣。PVE的并发症包括脓肿形成,这与死亡率增加有关。如果有人工瓣膜置换术史的患者出现提示胃肠炎或菌血症的症状,应怀疑PVE进行彻底调查。沙门氏菌PVE的预后可通过及时启动适当的抗生素并给予足够的持续时间,以及在必要时考虑手术干预来改善。此外,在沙门氏菌血症治疗后确认阴性血培养对预防PVE和瓣旁脓肿的发展很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Salmonella Enteritidis ST11 Prosthetic Valve Endocarditis Complicated by a Paravalvular Abscess: Case Report and Literature Review
Salmonella infection typically causes self-limiting gastroenteritis. However, in rare cases, it can lead to prosthetic valve endocarditis (PVE), especially in older adults with a history of valve replacement surgery. In this case study, we describe a case of Salmonella PVE in a man with a prosthetic aortic valve. Complications of PVE include abscess formation, which is associated with increased mortality. If a patient with a history of prosthetic valve replacement presents with symptoms suggestive of gastroenteritis or bacteremia, a thorough investigation should be conducted with suspicion of PVE. The prognosis of Salmonella PVE can be improved by promptly initiating appropriate antibiotics and administering them for an adequate duration, as well as by considering surgical intervention when necessary. Additionally, confirming negative blood cultures after treatment of Salmonella bacteremia is important to prevent the development of PVE and paravalvular abscesses.
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