Infective Endocarditis Caused by <i>Listeria monocytogenes</i> Forming a Pseudotumor
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- Uehara Yonekawa Akiko
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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- Iwasaka Sho
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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- Nakamura Hisataka
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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- Fukata Mitsuhiro
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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- Kadowaki Masako
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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- Uchida Yujiro
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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- Odashiro Keita
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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- Shimoda Shinji
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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- Shimono Nobuyuki
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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- Akashi Koichi
- Medicine and Biosystemic Science, Kyushu University Graduate School of Medical Sciences, Japan
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抄録
A 73-year-old woman with breast cancer and metastasis under chemotherapy suffered from fever, pleural effusion and pericardial effusion. Despite the administration of treatment with cefozopran and prednisolone, the patient's fever relapsed. An electrocardiogram identified a new complete atrioventricular block and an echocardiogram revealed vegetation with an unusual pseudotumoral mass in the right atrium. Blood cultures grew Listeria monocytogenes. The patient was eventually diagnosed with right-sided infective endocarditis, which improved following the six-week administration of ampicillin and gentamicin. Homemade yoghurt was suspected to be the cause of infection in this case. Listeria endocarditis is rare; however, physicians should pay more attention to preventing this fatal disease in immunocompromised patients.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 53 (9), 1029-1032, 2014
一般社団法人 日本内科学会