자연 판막에서 발생한 Staphylococcus lugdunensis에 의한 감염성 심내막염 1예

A Case of Native Valve Infective Endocarditis Caused by Staphylococcus lugdunensis

  • 조환진 (울산병원 심장내과) ;
  • 설상훈 (인제대학교 의과대학 부산백병원 심장내과) ;
  • 박상율 (인제대학교 의과대학 부산백병원 심장내과) ;
  • 전현수 (인제대학교 의과대학 부산백병원 심장내과) ;
  • 김동기 (인제대학교 의과대학 부산백병원 심장내과) ;
  • 김두일 (인제대학교 의과대학 부산백병원 심장내과) ;
  • 김동수 (인제대학교 의과대학 부산백병원 심장내과)
  • Cho, Hwan-Jin (Division of Cardiology, Department of Internal Medicine, Ulsan Hospital) ;
  • Seol, Sang-Hoon (Division of Cardiology, Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Park, Sang-Yool (Division of Cardiology, Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Jun, Hyun-Soo (Division of Cardiology, Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Kim, Dong-Kie (Division of Cardiology, Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Kim, Doo-Il (Division of Cardiology, Department of Internal Medicine, Paik Hospital, Inje University College of Medicine) ;
  • Kim, Dong-Soo (Division of Cardiology, Department of Internal Medicine, Paik Hospital, Inje University College of Medicine)
  • 발행 : 2011.02.01

초록

S. lugdunensis 감염성 심내막염은 국내에서 거의 보고가 없었고, 매우 드물지만 심한 합병증 및 높은 사망률을 보이는 질환이다. 저자들은 항생제 및 수술적 치료로 완치된 자연 판막에서 발생한 S. lugdunensis 감염성 심내막염 1예를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.

A 37-year-old woman presented to our hospital with a 1-month history of fever. She also complained of lower leg pain. Transthoracic echocardiography showed large vegetations on the mitral valve leaflets. Staphylococcus lugdunensis was isolated from blood cultures. She was diagnosed with infectious endocarditis due to S. lugdunensis and was treated with antibiotics and surgery. Infective endocarditis caused by S. lugdunensis can be invasive and often resembles endocarditis due to Staphylococcus aureus. Thus, whenever this organism is found in patients with endocarditis, early surgical treatment of the infected valve should be considered.

키워드

참고문헌

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