Muthukumaran Chinnasamy S, Govindaraj Poonamallee R, Vettukattil Joseph
Department of Paediatric Cardiology, Southampton General Hospital, UK.
Cardiol Young. 2005 Oct;15(5):532-3. doi: 10.1017/S1047951105001459.
As far as we are aware, right-sided bacterial endocarditis has not previously been described as presenting with systemic illness and testicular swelling. We report a teenager who presented with this unusual combination as a consequence of right-sided endocarditis. He presented with high fever, with chills and rigor, along with painful enlargement of the left testicle, a productive cough with progressive breathlessness, and joint pains. His blood culture was positive for Staphylococcus aureus, and a computerised tomographic scan of the chest revealed multiple pulmonary emboluses. Ultrasound of the testicles showed features of inflammation, and an echocardiogram revealed a vegetation on the tricuspid valve.
据我们所知，此前尚未有右侧细菌性心内膜炎表现为全身疾病和睾丸肿大的报道。我们报告一名青少年，他因右侧心内膜炎出现了这种不寻常的症状组合。他表现为高热、寒战和 rigor（原文如此，可能拼写有误，推测为“寒战”），伴有左侧睾丸疼痛性肿大、进行性气促的咳痰性咳嗽以及关节疼痛。他的血培养结果显示金黄色葡萄球菌阳性，胸部计算机断层扫描显示多处肺栓塞。睾丸超声显示有炎症特征，超声心动图显示三尖瓣有赘生物。
