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KMID : 1144320170490040282
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감염과 화학요법
2017 Volume.49 No. 4 p.282 ~ p.285
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Prosthetic Valve Endocarditis caused by HACEK Organisms: a Case Report and Systematic Review of the Literature
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Choi Ha-Na
Park Ki-Ho
Park So-Young
Kim Jae-Min
Kang Hyun-Joon
Park Jae-Hun
Lee Mi-Suk
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Abstract
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HACEK is a rare cause of prosthetic valve endocarditis (PVE). We describe 42-year-old male patient who presented with Aggregatibacter aphrophilus PVE and cerebral infarct. A. aphrophilus was isolated from his blood cultures as the sole pathogen, which was confirmed by subsequent 16S rRNA sequencing. He was treated with valve replacement surgery and an 8 week course of pathogen-directed antibiotic therapy and followed for 20 months without recurrence.
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KEYWORD
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HACEK, Aggregatibacter aphrophilus, Endocarditis, Heart valve prosthesis
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