细菌性心内膜炎的肌肉骨骼表现。
Musculoskeletal manifestations of bacterial endocarditis.
作者信息
Rangel E B, Atallah A N
机构信息
Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil.
出版信息
Sao Paulo Med J. 2000 Sep 7;118(5):158-60. doi: 10.1590/s1516-31802000000500009.
CONTEXT
The incidence of staphylococcal infection has been increasing during the last 20 years.
OBJECTIVE
Report a case of staphylococcal endocarditis preceded by musculoskeletal manifestations, which is a rare form of clinical presentation.
DESIGN
Case report.
CASE REPORT
A 45-year-old-man, without addictions and without known previous cardiopathy, was diagnosed as having definitive acute bacterial endocarditis due to Staphylococcus aureus. Its etiology was community-acquired, arising from a non-apparent primary focus. In addition, the musculoskeletal symptoms preceded the infective endocarditis (IE) by about 1 month, which occurred together with other symptoms, e.g. mycotic aneurysms and petechiae. Later, the patient showed perforation of the mitral valve and moderate mitral insufficiency with clinical control.
背景
在过去20年中，葡萄球菌感染的发病率一直在上升。
目的
报告一例以肌肉骨骼表现为先兆的葡萄球菌性心内膜炎病例，这是一种罕见的临床表现形式。
设计
病例报告。
病例报告
一名45岁男性，无成瘾史，既往无已知心脏病，因金黄色葡萄球菌被诊断为明确的急性细菌性心内膜炎。其病因是社区获得性的，源于一个不明显的原发性病灶。此外，肌肉骨骼症状比感染性心内膜炎（IE）提前约1个月出现，同时还伴有其他症状，如霉菌性动脉瘤和瘀点。后来，患者出现二尖瓣穿孔和中度二尖瓣关闭不全，并得到临床控制。
Zotero 插件