Tomaszuk-Kazberuk Anna, Musiał J, Modrzejewski Wojciech, Knapp Małgorzata, Lisowska Anna
Klinika Kardiologii, Akademia Medyczna, Białystok, Poland.
Kardiol Pol. 2004 Jan;60(1):57-9.
A case of a 75-year-old male with a history of aortic valve disease hospitalised due to pyrexia of unknown origin is reported. Initially the patient was diagnosed with infective endocarditis due to persistent pyrexia, history of valve disease, single positive blood culture and echocardiographic scan suggesting infective endocarditis. Treatment with two strong antibiotics did not bring expected amelioration. Patient's hemodynamic status remained unchanged. After several weeks of hospitalization X-ray scan revealed involved hilar lymph nodes, which was confirmed by CT scan of the chest. The patient was diagnosed with Hodgkin's disease. He died three months after initiation of chemotherapy.
报告了一例75岁男性,有主动脉瓣疾病史,因不明原因发热住院。最初,由于持续发热、瓣膜疾病史、单次血培养阳性以及超声心动图扫描提示感染性心内膜炎,该患者被诊断为感染性心内膜炎。使用两种强效抗生素治疗并未带来预期的改善。患者的血流动力学状态未改变。住院几周后,X线扫描显示肺门淋巴结受累,胸部CT扫描证实了这一点。该患者被诊断为霍奇金病。他在化疗开始三个月后死亡。