查詢結果分析
相關文獻
- 心內膜炎手術之適應症
- 預防細菌性心內膜炎的最新建議
- 以非特異症狀表現的急性細菌性心內膜炎:病例報告
- 牙科病患細菌性心內膜炎之預防新知
- Prosthetic Valve Endocarditis Complicating Acute Obstruction of a Mechanical Mitral Valve Successfully Treated with Antibiotics and Thrombolytic Therapy
- Prognostic Determinants of Infective Endocarditis in the 1990s
- 感染性心內膜炎併發顱內菌性動脈瘤--病例報告
- 院內感染性心內膜炎:三病例報告
- Infective Endocarditis
- Mitral Valve Prolapse and Infective Endocarditis
頁籤選單縮合
題 名 | Haemophilus parainfluenzae Infective Endocarditis:A Case Report=Haemophilus parainfluenzae引起之心內膜炎:一病例報告 |
---|---|
作 者 | 陳彥旭; 萬樹人; 李欣蓉; 林錫勳; 王堯顯; 陳垚生; 王任賢; 顏慕庸; 劉永慶; | 書刊名 | 中華民國感染症醫學會雜誌 |
卷 期 | 8:2 1997.12[民86.12] |
頁 次 | 頁142-146 |
分類號 | 414.83 |
關鍵詞 | 心內膜炎; Haemophilus parainfluenzae; Infective endocarditis; |
語 文 | 英文(English) |
中文摘要 | Haemophilus parainfluenzae是常見於人體咽喉之革蘭氏陰性球桿菌。它造成人類感染性心內膜炎之機會並不多,但因為培養之困難,所以它卻是造成培養陰性心內膜炎中常見之菌種。由於其常形成瓣膜上巨大之贅形物,所以此類病人常併發重要血管之栓塞而死亡。本文介紹一位過去健康狀況良好之年輕人因Haemophilus parainfluenzae引起之感染性心內膜炎且併發中樞神經系統症狀的病例。病人係因為長達三星期不明原因之發燒、頭暈,最後突發性意識模糊而被送來高雄榮總。住院期間,心臟超音波發現於僧帽瓣上有一巨形之贅形物,且於住院第九天連續兩套血液細菌培養出Haemophilus parainfluenzae。給予適當之抗微生物製劑治療(先採用ampicillin plus gentamicin,後改為,ampicillin plus ceftizoxime)後,其療效雖然非常緩慢但病況穩定下來;病人意識清醒但仍持續輕度發燒,而追蹤之血液培養已轉陰性。經六週治療後,病人進行僧帽瓣置換手術。術後,病人狀況良好且持續規則門診追蹤迄今。 |
英文摘要 | Haemophilus parainfluenzae is a common inhabitant of the nasopharynx and oropharynx. Although it is an uncommon pathogen in infective endocarditis, it is a common cause of culture-negative endocarditis due to the difficulty in isolation from routine blood cultures. In this article, we report a patient with Haemophilus parainfluenzae endocarditis involving a normal mitral valve presenting with CNS manifestations. Prolonged fever for 3 weeks and dizziness followed by sudden-onset disturbance of consciousness was the major presentation. A subacute course and slow clinical response to appropriate antimicrobial agents were characteristic of Haemophilus parainfluenzae endocarditis. The patient's consciousness turned clear but low grade fever persisted. Mitral valve replacement was performed after prolonged antimicrobial therapy, and the postoperative course ran smoothly. |
本系統中英文摘要資訊取自各篇刊載內容。