PRIMARY ACTINOMYCOTIC ENDOCARDITIS - CASE-REPORT AND REVIEW

被引:22
作者
LAM, S [1 ]
SAMRAJ, J [1 ]
RAHMAN, S [1 ]
HILTON, E [1 ]
机构
[1] ALBERT EINSTEIN COLL MED, LONG ISL JEWISH MED CTR, DEPT MED, DIV INFECT DIS, NEW HYDE PK, NY 11042 USA
关键词
D O I
10.1093/clind/16.4.481
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Endocarditis due to Actinomyces species for which a portal of entry cannot be identified is extremely rare. We present a case of primary endocarditis due to Actinomyces israelii with an unknown portal of entry and review seven similar cases reported in the literature since 1939. The disease predominantly affects males. Clinical features are similar to those of bacterial endocarditis due to other organisms. Penicillin remains the drug of choice for treatment of this condition. The optimal duration of treatment has not yet been determined; however, with early diagnosis and appropriate antimicrobial therapy, the prognosis is good.
引用
收藏
页码:481 / 485
页数:5
相关论文
共 18 条
[11]   SUSCEPTIBILITY OF PATHOGENIC ACTINOMYCETES TO ANTIMICROBIAL COMPOUNDS [J].
LERNER, PI .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1974, 5 (03) :302-309
[12]   CLINICAL ARREST OF ENDOCARDIAL ACTINOMYCOSIS AFTER 44 MILLION UNITS OF PENICILLIN [J].
MACNEAL, WJ ;
BLEVINS, A ;
DURYEE, AW .
AMERICAN HEART JOURNAL, 1946, 31 (06) :668-676
[13]   A LONGITUDINAL-STUDY OF ACTINOMYCES-ISRAELII IN THE FEMALE GENITAL-TRACT [J].
PERSSON, E ;
HOLMBERG, K .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 1984, 63 (03) :207-216
[14]  
STOKES JF, 1951, BRIT HEART J, V13, P247
[16]  
WALTERS EW, 1962, ANTIMICROB AGENTS CH, V5, P517
[17]   ACTINOMYCOTIC ENDOCARDITIS - REPORT OF 2 CASES WITH A REVIEW OF THE LITERATURE [J].
WEDDING, ES .
ARCHIVES OF INTERNAL MEDICINE, 1947, 79 (02) :203-227
[18]   STUDY OF 57 CASES OF ACTINOMYCOSIS OVER A 36-YEAR PERIOD - DIAGNOSTIC FAILURE WITH GOOD PROGNOSIS AFTER TREATMENT [J].
WEESE, WC ;
SMITH, IM .
ARCHIVES OF INTERNAL MEDICINE, 1975, 135 (12) :1562-1568