A 22-year-old patient from Ghana with fever and reduced CD4 T-cell count

被引：0

作者：

Ghanem, H. ^{[1
,2
,3
]}

Hagel, S. ^{[1
,2
,3
,4
]}

Keller, P. ^{[2
,3
,5
]}

Prochnau, D. ^{[6
]}

Stallmach, A. ^{[1
,2
,3
,4
]}

Pletz, M. W. ^{[2
,3
,4
]}

机构：

[1] Univ Klinikum Jena, Klin Innere Med 2, Abt Gastroenterol Hepatol & Infektiol, D-07740 Jena, Germany

[2] Univ Klinikum Jena, Zentrum Infekt Med, D-07740 Jena, Germany

[3] Univ Klinikum Jena, Krankenhaushyg, D-07740 Jena, Germany

[4] Univ Klinikum Jena, Integriertes Forsch & Behandlungszentrum Sepsis &, D-07740 Jena, Germany

[5] Univ Jena, Inst Med Mikrobiol, D-07745 Jena, Germany

[6] Univ Klinikum Jena, Klin Innere Med 1, Abt Kardiol Angiol Pneumol Internist Intens Med, D-07740 Jena, Germany

来源：

INTERNIST | 2013年 / 54卷 / 01期

关键词：

Endocarditis; Fever of unknown origin; Blood cultures; CD4 lymphocyte count; Echocardiography; transesophageal; INFECTIVE ENDOCARDITIS; MICROORGANISMS; INCUBATION;

D O I：

10.1007/s00108-012-3159-6

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 22-year-old patient from Ghana without relevant co-morbidities was admitted twice with fever of unknown origin and reduced CD4 T-cell count. During the second hospital stay, after prolonged incubation of blood cultures and detection of vegetations on the mitral valve in a transesophageal echocardiogram, infectious endocarditis with Aggregatibacter aphrophilus was diagnosed. Treatment according to European guidelines resulted in resolution of the fever, dissolution of the mitral valve vegetations and recovery of CD4 T-cell count.

引用

页码：100 / 104

页数：5

共 12 条

[1] Prolonged incubation and extensive subculturing do not increase recovery of clinically significant microorganisms from standard automated blood cultures [J].