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Mycotic Aneurysm from Abiotrophia Defectiva Causing Subdural Hematoma with Herniation
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作者 Nihit Mehta Matthew Baskind +1 位作者 Keith Collins Jose Maria Acostamadiedo 《Advances in Infectious Diseases》 CAS 2022年第4期715-720,共6页
This case describes a ruptured mycotic aneurysm from Abiotrophia defectiva that led to a subdural hematoma and subsequent herniation. In the current literature, there have been cases highlighting mycotic aneurysms lea... This case describes a ruptured mycotic aneurysm from Abiotrophia defectiva that led to a subdural hematoma and subsequent herniation. In the current literature, there have been cases highlighting mycotic aneurysms leading to subdural hematoma. Several others describe similar topics;however, none were caused by Abiotrophia defectiva, leading to a herniation event. Abiotrophia defectiva, while not common, is an insidious bacterium that is difficult to detect and leads to a poor prognosis. In their paper, Ding et al. described a hematoma formation from a ruptured aneurysm of the distal middle cerebral artery [1]. Similar cases include two instances published by Boukobza et al. [2]. These prior articles and our report summarizes that this diagnosis typically warrants careful evaluation of etiologies and close management of the patient. 展开更多
关键词 abiotrophia defectiva Subdural Hematoma with Herniation Mycotic Aneurysm
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室间隔缺损合并缺陷乏养菌致感染性心内膜炎——附1例报告 被引量:1
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作者 郑双林 马芳芳 +1 位作者 王莹莹 谢华斌 《实用检验医师杂志》 2023年第3期329-332,共4页
目的报告1例室间隔缺损合并缺陷乏养菌致感染性心内膜炎(IE)患者的诊疗过程。方法回顾并分析厦门大学附属心血管病医院收治的1例先天性室间隔缺损合并IE患者的临床资料以及治疗方案,采用微生物检验与临床诊断相结合的方法,收集患者外周... 目的报告1例室间隔缺损合并缺陷乏养菌致感染性心内膜炎(IE)患者的诊疗过程。方法回顾并分析厦门大学附属心血管病医院收治的1例先天性室间隔缺损合并IE患者的临床资料以及治疗方案,采用微生物检验与临床诊断相结合的方法,收集患者外周静脉血样本及术中切除的瓣膜赘生物标本进行微生物培养。结果患者为54岁女性,因“反复胸痛3年,再发1个月余”于2021年10月12日入院。入院心脏彩超显示为室间隔缺损,肺动脉瓣上可见长约12.7 mm的赘生物,其外周血及瓣膜赘生物标本均培养出缺陷乏养菌。经抗感染、外科手术治疗,患者好转出院。结论缺陷乏养菌作为正常菌群,当机体免疫力低下时经由血行途径成为致病菌,尤其当患者存在先天性心脏病等危险因素时,会引起IE。 展开更多
关键词 室间隔缺损 缺陷乏养菌 感染性心内膜炎 血培养 赘生物
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