未经证实:和重要性:明串珠菌属革兰氏阳性菌,这种细菌,可以在绿色蔬菜中找到,也可以在葡萄酒中使用,奶酪,和糖生产,是人类罕见的疾病原因。
未经授权:我们报告一例60岁男性,有鼻咽癌化疗和放疗史。在过去的2个月中,该患者因血尿和偶发发热而入院。血液检查发现贫血为5g/dl,18,000/ml的高白细胞增多症,经胸超声心动图显示,中度二尖瓣反流,严重的二尖瓣狭窄,瓣膜面积为1.5cm2,并且在前二尖瓣的A2部分上有14×6mm的移动植被。经食管超声心动图(TEE)显示16×8mm二尖瓣植被。然后进行经验性抗生素治疗,以适应抗生素谱。
未经证实:我们的患者发生感染性心内膜炎的风险极高。这种情况很有趣,因为IE的病原菌通常是葡萄球菌和链球菌,文献中发现两例类似的明串珠菌属心内膜炎,联合治疗对青霉素耐药组病毒链球菌的有效治疗,我们的团队选择了与庆大霉素相关的头孢曲松的经验性治疗。
UNASSIGNED:临床医生必须意识到许多致病生物,包括明串珠菌属。同样清楚的是,对于具有多种诱发因素的患者,例如所介绍病例中的患者,必须保持较高的怀疑指数。
UNASSIGNED: and importance:
Leuconostoc is a genus of gram-positive bacteria, this type of bacteria, which can be found in green vegetables and are used in wine, cheese, and sugar production, is an uncommon cause of disease in human beings.
UNASSIGNED: We report the
case of a 60 years old male, with a medical history of nasopharyngeal carcinoma treated by chemotherapy and radiotherapy. The patient was admitted for total hematuria and episodic fever for the last 2 months. blood test found an anemia at 5g/dl, hyperleukocytosis at 18,000/ml,The transthoracic echocardiography showed, moderate mitral regurgitation, severe mitral stenosis with a valve area of 1.5cm2, and a mobile vegetation measuring 14 × 6 mm on A2 part of the anterior mitral valve. Transesophageal echocardiography (TEE) showed a 16 × 8 mm mitral vegetation. An empirical antibiotic therapy then adapted to the antibiogram.
UNASSIGNED: our patient is at an extremely elevated risk for infective endocarditis. This
case is interesting because the pathogenic bacterial species for IE are typically staphylococci and streptococci, Two similar cases of
Leuconostoc spp endocarditis were found in the literature, effective therapy of penicillin-resistant group viridians streptococci with combination therapy, our team opted for empiric treatment with ceftriaxone associated to gentamycin.
UNASSIGNED: It is critical for clinicians to be aware of the many pathogenic organisms, including Leuconostoc species. It is also clear that a higher index of suspicion must be maintained in patients with multiple predisposing factors such as the patient in the
case presented.