PDF(Pubmed)
Abstract：
Rothia dentocariosa is a conditionally pathogenic bacterium that may cause infective endocarditis (IE) in selected patients and give rise to a variety of clinical complications, albeit it is not a common IE pathogen. We present the case of a patient diagnosed with Rothia dentocariosa-associated IE secondary to influenza B and thrombocytopenic purpura. The blood culture revealed Rochebacterium caries, cardiac ultrasound detected vegetation, while brain and spleen abscesses manifested and progressively deteriorated. Despite a suboptimal response to anti-infective therapy, the patient ultimately underwent aortic valve replacement. Discharge from the hospital was achieved upon control of the brain abscess and spleen abscess.
摘要：
龙氏杆菌是一种有条件的致病菌，可能在某些患者中引起感染性心内膜炎（IE），并引起各种临床并发症，尽管它不是常见的IE病原体。我们介绍了一例被诊断为乙型流感和血小板减少性紫癜继发的齿科罗斯氏菌相关IE的患者。血培养显示了玫瑰杆菌龋齿，心脏超声检测到植被，而脑和脾脓肿表现并逐渐恶化。尽管抗感染治疗反应欠佳，患者最终接受了主动脉瓣置换术.在控制了脑脓肿和脾脓肿后即可出院。
