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題名 | Infective Endocarditis Due to Achromobacter Xylosoxidans Associated with Spondylodiscitis: A Case Report=木糖氧化產鹼菌引發的心內膜炎以脊椎椎間盤炎為臨床表徵 |
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作者姓名(中文) | 楊慶輝; 施乃菁; 盧敬德; | 書刊名 | 內科學誌 |
卷期 | 18:4 2007.08[民96.08] |
頁次 | 頁212-216 |
分類號 | 415.3164 |
關鍵詞 | 木糖氧化產鹼菌; 心內膜炎; 脊椎椎間盤炎; Infective endocarditis; Spondylodiscitis; Achromobacter xylosoxidans; |
語文 | 英文(English) |
中文摘要 | 心內膜炎和脊椎椎間盤炎同時存在於一位病患身上,在臨床上並不多見。在此,我們報告一例35歲海洛英成癮的病患以背痛為表徵,之後證實為脊椎椎間盤炎;同時,還發現由木糖氧化產鹼菌所引發的三尖辦心內膜炎。病患經由內科治療無效而後轉院。有關的文獻指出,心內膜炎和脊椎椎間盤炎之間確實有其相關性;臨床醫師上若能對此有其認識,才能適時的給予病患必要的檢查而有助於治療的成功。除此之外,我們亦特別提出木糖氧化產鹼菌也可以是心內膜炎的致病菌。 |
英文摘要 | It is rare in patient with infective endocarditis associated with spondylodiscitis. Herein, we report a case of 35-year-old male with intravenous heroin addiction representing community-acquired Achromobacter xylosoxidans native tricuspid valve endocarditis with spondylodiscitis as his early presentation and treatment failure in medical therapy. Early recognition of the relationship between infective endocarditis and spondylodiscitis is a key to successful treatment. This case also reminds clinicians about the unusual presentation of infective endocarditis due to Achromobacter xylosoxidans. |
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