Serratia Marcescens, An Opportunistic Gram Negative Infection In Cardiac Valve Surgery

نویسندگان

  • Ali Zolfaghari Dept. of Microbiology, Tehran University of Medical Sciences, Tehran, Iran.
  • Narges Shahmohammad3 Dept. of Medical Parasitology, Iran University of Medical Sciences, Tehran, Iran.
  • Shaghayegh Nasirpour Dept. of Cardiology, Milad Hospital, Tehran, Iran.
چکیده مقاله:

  Serratia marcescens (S.M) is a species of gram–negative bacteria in the family enterobacteriaceae. A human pathogen, S. marcescens is involved in nosocomial infections, particularly in urinary tract and wound infections. This report describes a 63 years-old man that referred to hospital with dyspnea FC IV and he underwent cardiac valves replacement surgery with a diagnosis of severe mitral stenosis (M.S), severe tricuspid regurgitation (T.R), and moderate aortic insufficiency (A.I). Five days after operation, he presented with 40 °C fever, respiratory distress, elevation of liver enzymes, and decreased consciousness. Sepsis work up showed positive blood culture for Serratia marcescens. Despite therapy, he died due to Serratia marcescens endocarditis and mediastinitis. Positive blood culture for Serratia marcescens is very rare but it should be considered in post operation patients after cardiac valve replacement presenting with fever. Besides, prevention of endocarditis due to Serratia marcescens should be observed.  

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

serratia marcescens, an opportunistic gram negative infection in cardiac valve surgery

serratia marcescens (s.m) is a species of gram–negative bacteria in the family enterobacteriaceae. a human pathogen, s. marcescens is involved in nosocomial infections, particularly in urinary tract and wound infections. this report describes a 63 years-old man that referred to hospital with dyspnea fc iv and he underwent cardiac valves replacement surgery with a diagnosis of severe mitral sten...

متن کامل

Cross-infection with Serratia marcescens.

Cross-infection in a urological unit due to Serratia marcescens is reported. The bacteriology of the organism and its mode of spread are described. It is suggested that Serratia marcescens may be a more virulent organism than is generally believed, especially in situations in which there is an excess of mucus.

متن کامل

Epidemic outbreak of Serratia marcescens infection in a cardiac surgery unit.

Between 2 February and 16 April 1985, an outbreak of Serratia marcescens infection involving 10 male patients occurred in a cardiac surgery unit. All the patients had surgical wound infection, five also had osteomyelitis (four sternal, one costal), and another had peritonitis secondary to peritoneal dialysis. Three patients had concomitant bacteremia. All Serratia strains isolated produced a ch...

متن کامل

Serratia Marcescens Infection Complicating Peritoneal Dialysis.

Serratia marcescens (Chromobacterium prodigiosum) is a freeliving saprophyte generally regarded as being non-pathogenic (Wilson and Miles, 1955). There is, however, reason to believe that under certain conditions this organism may be pathogenic. Three instances are here reported in which S. marcescens infection of the peritoneum occurred during peritoneal dialysis for acute renal failure. All t...

متن کامل

Serratia marcescens: an outbreak experience

One year ago, I had one of the worst experiences a hospital epidemiologist can have: a Serratia marcescens outbreak in a neonatal department with a total of 21 colonized or infected newborns. This outbreak caused headlines in all national TV channels and newspapers for at least one week in Germany. What happened? On October 8th, we identified two newborns with S. marcescens bloodstream infectio...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ذخیره در منابع من قبلا به منابع من ذحیره شده

{@ msg_add @}


عنوان ژورنال

دوره 3  شماره 1

صفحات  40- 42

تاریخ انتشار 2008-01-01

با دنبال کردن یک ژورنال هنگامی که شماره جدید این ژورنال منتشر می شود به شما از طریق ایمیل اطلاع داده می شود.

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023