Haemophilus aphrophilus에 의한 감염성 심내막염 1예
A case of Haemophilus aphrophilus native valve endocarditis
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초록
Haemophilus aphrophilus에 의한 심내막염은 매우 드물게 발생하며, 다른 병원체에 비해 합병증이 흔하고 사망률 또한 높다. 현재까지 국내에서 Haemophilus aphrophilus에 의한 감염심내막염은 3예밖에 보고된 바가 없으며 모두 수술적 치료를 병행하였다. 저자들은 61세 여자 환자에서 6주간의 항생제 치료만으로 뇌색전증을 동반한 Haemophilus aphrophilus에 의한 감염심내막염을 성공적으로 치료하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Haemophilus aphrophilus, a fastidious, gram-negative oropharyngeal species grouped as a HACEK organism, is a rare cause of infective endocarditis. Three cases of endocarditis with Haemophilus aphrophilus were reported in Korea, and all of them required valve replacement surgery. We describe a case of native valve infective endocarditis with cerebral embolism and infarction caused by Haemophilus aphrophilus in a 61-year-old woman who was successfully treated with antibiotic therapy for 6 weeks without valve replacement surgery.
참고문헌 (12)
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