Peripherally Inserted Central Catheter-Associated Nocardia nova Endocarditis in a Patient Receiving Intravenous Antibiotics for Chronic Lyme Disease.

Peripherally Inserted Central Catheter-Associated Nocardia nova Endocarditis in a Patient Receiving Intravenous Antibiotics for Chronic Lyme Disease.
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DOI:
10.1093/ofid/ofab041
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发表时间:
2021-03
影响因子:
4.2
通讯作者:
Pukkila-Worley R
Pukkila-Worley R
中科院分区:
医学3区
文献类型:
--
作者:
Njie AB;Mitchell M;Pukkila-Worley R

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长期使用抗生素对有莱姆病病史和持续症状的患者无效。然而,一些临床医生仍然处方这些疗法。我们报告一位接受静脉抗生素治疗慢性莱姆病的病人,发生经外周静脉置入中心静脉导管相关的新诺卡氏菌心内膜炎。该病例强调了与不科学地使用留置外周导管和静脉注射抗生素管理此类患者相关的重要风险。
Long-term antibiotics are not effective for the therapy of patients with persistent symptoms and a history of Lyme disease. However, some clinicians still prescribe these therapies. We present a case of peripherally inserted central catheter-associated Nocardia nova endocarditis in a patient who had been receiving intravenous antibiotics for the management of chronic Lyme disease. This case highlights an important risk associated with the unscientific use of indwelling peripheral catheters and intravenous antibiotics for the management of such patients.
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