Propionibacterium Acnes Infective Endocarditis after Termination of Pregnancy due to Fetal Death in Utero: A Case Report and Review

子宮內死胎引起感染性心內膜炎—病例報告

李明政(Ming-Cheng Lee) ； 戴佩玲(Agatha Te) ； 林麗真(Li-Chen Lin) ； 郭文雄(Wen-Shiung Kuo) ； 楊茂勳(Mason Young)

《重症醫學雜誌》 13卷3期 (2012/09) Pp. 153-157

https://doi.org/10.30035/TCCM.201209.0004

摘要

感染性心內膜炎是婦產科罕見的併發症。文獻報告的感染性心內膜炎最常見的細菌是綠色鏈球菌（streptococcusviridans），腸球菌（enterococcus），和淋球菌。在此報告我們一位三十歲女士在發病前妊娠三十四週時發現胎盤早期剝離導致胎死腹中，產道大量出血。痤瘡桿菌（Propionibacteriumacnes）是一種生長相對緩慢的典型革蘭氏陽性厭氧菌（桿狀），平時即存在於人體毛囊中，是與肌膚共存的常在菌落，正常情況下，並不會危害人體。但是，一些研究報告指出在臨床上有些嚴重感染症主要病因是 痤瘡桿菌（Propionibacterium acnes）故不能當作正常菌落或純粹污染必需使用適當抗生素治療。

關鍵字

痤瘡桿菌 ； 感染性心內膜炎 ； 主動脈閉鎖不全 ； 子宮內死胎

並列摘要

Infective endocarditis is an uncommon complication in obstetric and gynecologic settings. Most reported cases in the literature have been caused by streptococci, enterococci, and gonococci. We have reported a case of infective endocarditis caused by Propionibacterium acnes in a 30-year-old woman who developed infective endocarditis following the termination of pregnancy due to intra-uterine fetal death and placental abruption. Propionibacterium acnes belongs to the cutanous flora of humans and is often considered a biological contaminant in clinical setting; however, it has been found to be the principal pathogen in many cases of documented serious infections; therefore, appropriate antibiotic treatment is mandatory before considering it a mere contaminant.

並列關鍵字

Propionibacterium acnes ； Infective endocarditis ； Aortic insufficiency ； Intra-uterine fetal death