大動脈弁置換術により救命しえた Aerococcus urinae 感染性心内膜炎の1例 A Case of Infective Aerococcus urinae Endocarditis Successfully Treated by Aortic Valve Replacement

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著者

    • 宮里 明子 MIYAZATO Akiko
    • 埼玉医科大学国際医療センター感染症科・感染制御科 Department of Infectious Diseases and Infection Control, Saitama International Medical Center, Saitama Medical University
    • 大楠 清文 OHKUSU Kiyohumi
    • 岐阜大学大学院医学系研究科病原体制御学分野 Department of Microbiolgy, Gifu University Graduate School of Medicine
    • 石井 俊輔 [他] ISHII Shunsuke
    • 北里大学北里研究所メディカル病院循環器内科 Department of Cardiology, Kitasato University Kitasato Institute Medical Center Hospital
    • 笹岡 大史 SASAOKA Taishi
    • 北里大学北里研究所メディカル病院循環器内科 Department of Cardiology, Kitasato University Kitasato Institute Medical Center Hospital
    • 池田 昌弘 IKEDA Masahiro
    • 埼玉医科大学国際医療センター心臓血管外科 Department of Cardiovascular surgery, Saitama International Medical Center, Saitama Medical University
    • 新浪 博 NIINAMI Hiroshi
    • 埼玉医科大学国際医療センター心臓血管外科 Department of Cardiovascular surgery, Saitama International Medical Center, Saitama Medical University
    • 江崎 孝行 EZAKI Takayuki
    • 岐阜大学大学院医学系研究科病原体制御学分野 Department of Microbiolgy, Gifu University Graduate School of Medicine
    • 光武 耕太郎 MITSUTAKE Kotaro
    • 埼玉医科大学国際医療センター感染症科・感染制御科 Department of Infectious Diseases and Infection Control, Saitama International Medical Center, Saitama Medical University

抄録

<i>Aerococcus urinae </i>is a endocarditis rare causative organism with low virulene. We report an <i>A. urinae </i>endocarditis case treated by aortic valve replacement. An 80-year-old woman hospitalized for urinary tract infection and hydronephrosis due to three-week renal calculi. Blood culture on admission isolated <i>Streptococcus acidominimus</i>.During the course, she was transferred to our care for surgical intervention after developing congestive heart failure due to severe aortic regurgitation. Echocardiographicfindings indicated infective endocarditis. She underwent aortic valve replacement, and gram staining of the resected valve tissue showed gram-positive cocci, although valve culture was negative. PCR amplification and DNA sequencing using the valve material matched an <i>A. urinae </i>sequence. The woman recovered and was discharged six weeks after antibiotic treatment.

収録刊行物

  • 感染症学雑誌 : 日本伝染病学会機関誌 : the journal of the Japanese Association for Infectious Diseases

    感染症学雑誌 : 日本伝染病学会機関誌 : the journal of the Japanese Association for Infectious Diseases 85(6), 678-681, 2011-11-20

    一般社団法人 日本感染症学会

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各種コード

  • NII論文ID(NAID)
    10030950365
  • NII書誌ID(NCID)
    AN00047715
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    03875911
  • NDL 記事登録ID
    023443329
  • NDL 請求記号
    Z19-193
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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