A case of Cardiobacterium valvarum endocarditis with cerebral hemorrhage after MVR, TVP and vegetation removal operation

Ni, Lijia; Xie, Xiaoying; Ouyang, Nengyong; Chen, Baiji; Wang, Dongye; Liu, Xiaoqiang; Wu, Xiaoqian; Guo, Jia-Jian; Li, Hongyu; Yao, Yihong; Huang, Songyin

doi:10.1186/s12941-018-0263-z

Cited by 6 publications

(6 citation statements)

References 19 publications

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“…Studies have shown that, 8 , 9 appropriate aerobic exercise, strength and neuromuscular training exercises can effectively help patients recover from SAH. In CNP, a well-structured rehabilitation exercise plan helps to promote patients’ recovery.…”

Section: Discussionmentioning

confidence: 99%

Effects of clinical nursing pathway on postoperative satisfaction and quality of life of patients with subarachnoid hemorrhage

Ge,

Gan,

Shan

et al. 2024

Pak J Med Sci

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Objective: To explore the effects of clinical nursing pathway (CNP) on the postoperative satisfaction and quality of life (QOL) of patients with subarachnoid hemorrhage (SAH). Methods: This is a retrospective study. Eighty patients with SAH admitted to Baoding No.1 Central Hospital from June 2021 to January 2023 were prospectively divided into a observation group and a control group by random numbers. The control group was given routine nursing, and the observation group was additional given CNP. The prognosis, cognitive function, QOL, self-care ability, nursing satisfaction and the incidence of complications were compared between the two groups. Results: After CNP nursing, the GCS and MMSE scores in the observation group were higher than those in the control group 14 days, one month and six months after the operation; and the difference was statistically significant (p< 0.05). Six months after the operation, the SS-QOL and Ability of daily living (ADL) scores in both groups were significantly improved compared with those before the intervention; and the improvement in the observation group was significantly better than that in the control group; and the difference was statistically significant(p<0.05). The nursing satisfaction score in the observation group was significantly higher than in the control group. The total incidence of complications in the observation group was lower than that in the control group. Conclusions: The CNP intervention in perioperative period of SAH patients has remarkable clinical effect, can improve the pertinence and efficiency of nursing, promote patients to recover as soon as possible, significantly improve the QOL of patients,and is worthy of clinical popularization. doi: https://doi.org/10.12669/pjms.40.4.7800 How to cite this: Ge M, Gan N, Shan Y, Tian N. Effects of clinical nursing pathway on postoperative satisfaction and quality of life of patients with subarachnoid hemorrhage. Pak J Med Sci. 2024;40(4):747-752. doi: https://doi.org/10.12669/pjms.40.4.7800 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 99%

Effects of clinical nursing pathway on postoperative satisfaction and quality of life of patients with subarachnoid hemorrhage

Ge,

Gan,

Shan

et al. 2024

Pak J Med Sci

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“…In the overwhelming majority, clinical presentations are insidious and without apparent signs of a systemic inflammatory response, such as pyrexia or chills [ 6 , 7 , 12 – 16 ]. Factors that appear to predispose patients to infection with C. valvarum include recent dental instrumentation [ 6 , 10 , 15 , 16 ], poor dentition [ 9 , 15 , 18 ], and congenital cardiac disease [ 6 , 8 – 10 , 12 , 13 , 15 – 17 , 19 ]. Importantly, the presence of a congenital bicuspid aortic valve appears to be strongly associated with C. valvarum pathogenicity [ 6 , 8 , 9 , 13 , 16 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

“…Importantly, the presence of a congenital bicuspid aortic valve appears to be strongly associated with C. valvarum pathogenicity [ 6 , 8 , 9 , 13 , 16 , 19 ]. Common imaging findings in infected hosts typically include large (> 1 cm) valvular vegetations on echocardiography [ 6 – 9 , 12 , 16 , 18 , 20 ], and, in settings where acute neurologic dysfunction is evident, septic cerebral emboli resulting in cerebrovascular accident [ 6 – 8 , 12 – 14 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

An unusual case of Cardiobacterium valvarum causing aortic endograft infection and osteomyelitis

Hauser

Nizamuddin

Yarusi

et al. 2021

Ann Clin Microbiol Antimicrob

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Background HACEK (Haemophilus spp., Aggregatibacter spp., Cardiobacterium spp., Eikenella corrodens, and Kingella spp.) group organisms are responsible for 0.8% to 6% of all infective endocarditis cases, with Cardiobacterium spp. being the third most commonly implicated HACEK microorganism. Within this genus is Cardiobacterium valvarum (C. valvarum), a novel organism described in 2004. To date, only 15 cases of C. valvarum infection have been reported in the English-language literature, and have primarily been cases of infective endocarditis in patients with valvular disease. C. valvarum has not been reported to cause infections spreading to the surrounding bone. Case presentation We present a case of a 57-year-old man with a history of aortic dissection followed by aortic endograft replacement who presented with back pain. He was found to have radiographic evidence of an infected aortic endograft, along with vertebral osteomyelitis, discitis, and epidural phlegmon. Blood cultures identified C. valvarum as the causative organism. The patient was treated with ceftriaxone and surgical intervention was deferred due to the patient’s complex anatomy. His course was complicated by septic cerebral emboli resulting in cerebrovascular accident. Conclusions This case report highlights C. valvarum, a rare and emerging HACEK group microorganism that warrants consideration in high-risk patients with evidence of subacute infection and disseminated disease. While C. valvarum classically presents as infective endocarditis, extra-cardiac manifestations have also been described. As demonstrated in this case, endograft involvement and osteomyelitis may occur in rare circumstances.

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“…L. Ni и соавт. также наблюдали случай ИЭ Cardiobac terium valvarum, возникший через 2 нед после посещения больным дантиста и протекавший без лихорадки, но с крупными вегетациями на клапане [49]. Однако в крупном исследовании A. Bläckberg и соавт.…”

Section: инфекционный эндокардит вызванный грамотрицательными бактери...unclassified

Infective endocarditis caused by gram-negative bacteria

Чипигина¹,

Karpova²,

Kashentseva³

et al. 2022

Klinicist

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Infective endocarditis (IE) caused by Gram-negative bacteria is a rare and insufficiently characterized form of endocarditis. The literature review presents data on the frequency, course, risk factors, diagnosis and treatment of both IE caused by the HACEK microorganisms (Haemophilus spр., Aggregatibacter spp., Cardiobacterium hominis, Eikenella corrodens, Kingella) and other Gram-negative bacteria. Gram-negative bacteria are the cause of 3.6–13.6 % IE cases (HACEK microorganisms in 0.8–3 % of IE cases in adults, non-HACEK in 1.8–3.9 %). Patients with IE caused by the HACEK microorganisms are younger, their disease is not associated with previous in-hospital treatment and is subacute with favorable prognosis (intrahospital mortality is 2–3 %). HACEK microorganisms mostly retain sensitivity to many antibiotics. Risk factors of IE caused by HACEK microorganisms are dental interventions, heart disorders, valve prostheses and other implanted cardiac devices. IE caused by non-HACEK Gram-negative bacteria is more common in elderly with concomitant disorders and usually is acute; intrahospital mortality is 13–36.5 %. Risk factors of IE caused by non-HACEK microorganisms are valve prostheses, electrical pacemakers, venous and central catheters, recent in-hospital treatment, Gram-negative bacteremia, decreased immunity, drug abuse, urinary infection, alcoholism, cirrhosis of the liver, removed spleen, consequences of dog and cat bites, working with the soil. Among Gram-negative non-HACEK bacteria causing IE, 28 % have multi-drug resistance (MDR / XDR) against antibiotics. Therefore, Gram-negative bacteria rarely cause IE but during selection of empiric therapy in patients with IE with corresponding risk factors, probability of Gram-negative causative microorganisms in IE etiology should be taken into account.

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A case of Cardiobacterium valvarum endocarditis with cerebral hemorrhage after MVR, TVP and vegetation removal operation

Cited by 6 publications

References 19 publications

Effects of clinical nursing pathway on postoperative satisfaction and quality of life of patients with subarachnoid hemorrhage

Effects of clinical nursing pathway on postoperative satisfaction and quality of life of patients with subarachnoid hemorrhage

An unusual case of Cardiobacterium valvarum causing aortic endograft infection and osteomyelitis

Infective endocarditis caused by gram-negative bacteria

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