The "Surreptitious staphylococcus":: Staphylococcus lugdunensis endocarditis in a child
The "Surreptitious staphylococcus":: Staphylococcus lugdunensis endocarditis in a child
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DOI：
10.1097/00006454-200210000-00023
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发表时间：
2002-10-01
影响因子：
3.6
通讯作者：
Curtis, N
中科院分区：
文献类型：
--
作者：
Sotutu, V;Carapetis, J;Curtis, N
一个患有先天性心脏病的儿童发展为由卢氏葡萄球菌引起的感染性心内膜炎。尽管最初的抗生素治疗在临床、炎症和超声心动图指标上有明显的良好反应，但患者的瓣膜损伤进展无声，需要手术干预。该病例强调了对lugdunensis的错误识别的可能性，其通常对青霉素的敏感性，特别是由这种凝固酶阴性葡萄球菌引起的心内膜炎的侵袭性。本文就该菌引起的心内膜炎的流行病学及治疗作一综述。
A child with congenital heart disease developed infective endocarditis caused by Staphylococcus lugdunensis. Despite an apparent excellent response to initial antibiotic treatment in clinical, inflammatory and echocardiographic indices, the patient's valve damage progressed silently and surgical intervention was required. This case highlights the potential for misidentification of S. lugdunensis, its usual susceptibility to penicillin and in particular the aggressive nature of endocarditis caused by this coagulase-negative staphylococcus. The epidemiology and treatment of endocarditis caused by this organism are reviewed.