Flavimonas oryzihabitans에 의한 지역사회 획득 감염성 심내막염 1예
A Case of Community-Acquired Infective Endocarditis due to Flavimonas oryzihabitans
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초록
Flavimonal oryzihabitans는 인체에 감염을 일으키는 드문 원인균의 그람음성 간균으로 주로 인공 삽입물이 있는 경우, 수술 등의 침습적 시술을 한 경우, 면역억제 상태의 환자 등에서 잘 발생하며 1세대 및 2세대 cephalosporin에 내성을 보이고 3세대 cephalosporin, antipseudomonal penicillin, aminoglycoside에 감수성을 보이는 것으로 알려져 있다. 저자들은 입원, 수술 등의 기왕력이 없는 평소 건강하였던 23세 남자환자가 발열과 오한을 주소로 내원하여 혈액배양검사와 심초음파 검사를 통해 F. oryzihabitans 지역사회 획득성 심내막염으로 진단하였고 ceftazidime과 gentamicin 투여 및 승모판 성형술 후 치유된 1예를 경험하였기에 문헌 고찰과 함께 이를 보고하는 바이다.
Abstract
Flavimonas oryzihabitans is a yellow-pigmented, non-spore forming, gram-negative bacillus mainly found in damp environments such as soil and stagnant water. F. oryzihabitans is an uncommon cause of clinically significant human infection. This organism has been mainly reported to cause infection related to indwelling intravenous catheters, continuous ambulatory peritoneal dialysis catheters or surgical procedures in immune compromised hosts or cancer patients. We report a case of community-acquired infective endocarditis caused by F. oryzihabitans in a 24-year-old man who had no significant past medical history. He was successfully treated by antimicrobial therapy and mitral valvuloplasty.
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