Pinto Anabela, Branco Luísa Moura, Pelicano Nuno, Feliciano Joana, Sobrinho Gonçalo, Agapito Ana F, Salomão Spencer, Capitão Mota, Quininha Jorge
Serviço de Cardiologia do Hospital de Santa Marta, Lisboa, Portugal.
Rev Port Cardiol. 2005 Jul-Aug;24(7-8):983-93.
Fever of unknown origin in elderly patients is a difficult diagnostic problem. Infective endocarditis is often not diagnosed in this group of patients, in whom other etiologies like cancer are considered first. The authors report a case in which an elderly woman with subacute mitral and tricuspid infective endocarditis was correctly diagnosed only after a peripheral embolism. Besides having multiple pulmonary and peripheral embolisms, she developed a left femoral mycotic aneurysm.
老年患者不明原因发热是一个诊断难题。感染性心内膜炎在这类患者中常常难以诊断，在他们身上，癌症等其他病因通常首先被考虑。作者报告了一例病例，一名患有亚急性二尖瓣和三尖瓣感染性心内膜炎的老年女性，直到发生外周栓塞后才被正确诊断。除了有多处肺栓塞和外周栓塞外，她还出现了左股部霉菌性动脉瘤。
