Recurrent Staphylococcus warnerii prosthetic valve endocarditis A case report and review 英文参考文献.docVIP
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Recurrent Staphylococcus warnerii prosthetic valve endocarditis A case report and review 英文参考文献
Arslanetal.AnnalsofClinicalMicrobiologyandAntimicrobials2011,10:14
/content/10/1/14
CASE REPORT
OpenAccess
RecurrentStaphylococcuswarneriiprostheticvalve
endocarditis:Acasereportandreview
FerhatArslan*,NeseSaltoglu,BirgülMeteandAliMert
Abstract
Toourknowledge,therehavebeenonlysixS.warneriendocarditiscasesreportedintheEnglish-language
literature(Medline:1966toApril2011).WereportacaseofrecurrentS.warneriendocarditisinapatientwith
prostheticvalveandsiliconmammoplastyandwealsoreviewtherelevantliterature.
Keywords:Staphylococcuswarneriendocarditis,prostheticvalve
Introduction
forcongenitalaorticstenosis.Shehadasiliconmammo-
Coagulase-negativestaphylococci(CoNS)haveemerged plastyanddentalextractionninemonthsandfourmonths
inrecentyearsasimportantnosocomialpathogens,with agorespectivelypriortothispresentation.Threemonths
Staphylococcus epidermidis the most frequently recog- ago,shehadbeentreatedforS.warneriendocarditiswith
nized organism in this group [1]. S. warneri and other ceftriaxone and gentamicin for four weeks. After one
coagulase-negative staphylococci have been recognized monthofbeingdischarged fromthecardiology depart-
lessfrequentlyassignificanthumanpathogens[2].
ment,thepatientdevelopedfeverandnightsweatsagain.
S. warnerii can cause catheter-related bacteremia, Ontheseconddayoflasthospitalization,painfulnodules
nativeandprostheticvalveendocarditis(PVE),hemato- (Oslersnodes)werenotedinthepadoftherightindex
genousvertebral osteomyelitis andventriculoperitoneal finger.Weinitiatedempiricalinfectiveendocarditistreat-
shunt-associated meningitis [3-10]. S. warnerii is a mentwithampicillin-sulbactamandgentamicin.Transeo-
CoNSthathasrarelybeenreportedininfectiveendocar- sphagealechocardiographyrevealedmotilevegetation(15
ditis. To our knowledge, there have been only six S. mm×4mmin size) onthe non-coronary cusp of the
warneri endocarditis cases reported in theEnglish-lan- prostheticaorticvalvewithnosignificantaorticincompe-
guage litera
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