만성 혈액투석환자에서 발생한 Corynebacterium에 의한 생체인공판막 심내막염 1예
A case of bioprosthetic valve endocarditis by corynebacterium in hemodyalysis patients
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참고문헌
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초록
본 증례는 만성 혈액투석을 받는 면역저하 상태의 환자에서 대동맥판막의 생체인공판막 치환술 후 4개월만에 발생한 Corynebacterium에 의한 감염성 심내막염에 대해 수술적 치료가 여의치 않아 vancomycin 치료에 이어 imipenem과 ciprofloxacin 병용투여를 하였으나 환자가 사망한 경우로 국내 최초의 Corynebacterium에 의한 생체인공판막의 감염성 심내막염에 대한 보고이다.
Abstract
There has been a number of reports recently describing the pathogen potential of irregular asporogenous gram positive rods (IGPR), also referred as coryneforms or diphtheroids. This may be due to a greater number of opportunistic infections occurring in patients who are immunosuppressed or implanted with prostheses. The documentation of endocarditis caused by IGPR is difficult. Because all the result of culture is not always positive and these cultures need long-period incubation, and there are sometimes pseudo-positive cases due to the contamination in blood sampling. An early diagnosis and adequate treatment are important for the better result. We describe the case of bio prosthetic valve endocarditis in a 61-year-old woman who enduring chronic hemodialysis. This is the first case reported of bioprosthetic valve endocarditis by Corynebacterium in Korea
참고문헌 (15)
- "Chronic endocarditis on valve prosthesis:6 cases", 13, pp.197~200 (1984)
- "Nosocomial endocarditis", 5, pp.284~288 (1984)
- "Nosocomial endocarditis caused by corynebacterium amycolatum and other nondiphtheriae corynebacteria", 8, pp.97~99 (2002)
- "Endocarditis due to corynebacterium pseudodiphtheriticum and antibiotic susceptibilities of nine strains", pp.887~892 (1991)
- "Corynebacterium JK:a new pathogen in ventriculostomy infections", 11, pp.65~69 (1991)
- "Corynebacterium jeikeium endocarditis:a report of five cases", 12, pp.265~268 (1989)
- "Four-valve endocarditis caused by corynebacterium CDC droup I", 80, pp.923~925 (1987)
- "Corynebacterium striatum first reported case of prosthetic valve endocarditis", 44, pp.193~ (2002)
- "Prosthetic valve endocarditis caused by corynebacterium afermentans subsp:lipophilum", 33, pp.759~761 (1995)
- "Prosthetic valve endocarditis caused by corynebacterium pilosum", 19, pp.247~249 (1991)
- "Prosthetic valve endocarditis caused by corynebacterium diphtheriae in a patient with pemphigus vulgaris", 25, pp.1330~1332 (1987)
- "An unusual caseof infective endocarditis", 78, pp.290~291 (2002)
- "Infective endocarditis due to unusual or fastidious microorganisms", 72, pp.532~542 (1997)
- "Vancomycin- resistant corynebacterium species causing prosthetic valve endocarditis successfully treated with imipenem and ciprofloxacin", 22, pp.161~169 (1991)
- "Endocarditis on prosthetic valve caused by a diphtheroid insensitive to vancomycin", 81, pp.111~112 (1990)