一名肺移植患者二尖瓣的曲霉菌心内膜炎。

Aspergillus endocarditis of the mitral valve in a lung-transplant patient.

作者信息

Saxena Pankaj, Clarke Belinda, Dunning John

机构信息

Department of Cardiac Surgery, The Prince Charles Hospital, Chermside, Queensland 4032, Australia.

出版信息

Tex Heart Inst J. 2007;34(1):95-7.

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1847926/

Abstract

A 57-year-old man underwent bilateral lung transplantation at our hospital. On histopathology, aspergillomas were identified in the upper lobes of the explanted lungs. After being treated and discharged from the hospital, he returned 4 months later with ischemic chest pain, which was due to a myocardial infarction complicated by cardiogenic shock. He also had a large vegetation on the anterior mitral leaflet. Herein, we describe the patient's symptoms, complications, treatment, and recovery. To the best of our knowledge, ours is only the 2nd report of a patient who developed Aspergillus endocarditis after lung transplantation and the 1st such patient to have undergone successful mitral valve replacement.

摘要

一名57岁男性在我院接受了双肺移植手术。组织病理学检查发现，移植肺的上叶存在曲霉菌瘤。患者经治疗出院，4个月后因缺血性胸痛再次入院，诊断为心肌梗死并发心源性休克。此外，其二尖瓣前叶有一个大的赘生物。在此，我们描述该患者的症状、并发症、治疗及康复情况。据我们所知，这是第二例关于肺移植后发生曲霉菌性心内膜炎的病例报告，也是首例成功进行二尖瓣置换术的此类患者。

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本文引用的文献

1

New clinical presentations of invasive aspergillosis in non-conventional hosts.非传统宿主侵袭性曲霉病的新临床表现。

Clin Microbiol Infect. 2004 Mar;10 Suppl 1:24-30. doi: 10.1111/j.1470-9465.2004.00840.x.

2

Aspergillus fungus balls on the mitral valve.二尖瓣上的曲霉菌球。

N Engl J Med. 2001 Jan 25;344(4):310-1. doi: 10.1056/NEJM200101253440418.

3

Aspergillus endocarditis in a lung transplant recipient. A case report and review of the transplant literature.肺移植受者的曲霉性心内膜炎。病例报告及移植文献综述。

Ann Transplant. 2000;5(3):48-53.

4

Aspergillus flavus mitral valve endocarditis after lung abscess.肺脓肿后黄曲霉性二尖瓣心内膜炎

J Heart Valve Dis. 2000 Nov;9(6):786-90.

5

Infective endocarditis in solid organ transplant recipients.

Clin Infect Dis. 1998 Mar;26(3):689-94. doi: 10.1086/514590.

6

Guidelines for the investigation of invasive fungal infections in haematological malignancy and solid organ transplantation. British Society for Medical Mycology.血液系统恶性肿瘤和实体器官移植中侵袭性真菌感染的调查指南。英国医学真菌学会。

Eur J Clin Microbiol Infect Dis. 1997 Jun;16(6):424-36. doi: 10.1007/BF02471906.

7

Aspergillus fumigatus endocarditis on a normal heart valve.正常心脏瓣膜上的烟曲霉性心内膜炎。

South Med J. 1983 Apr;76(4):506-8. doi: 10.1097/00007611-198304000-00027.

8

Immunological aspects of cardiopulmonary bypass.体外循环的免疫学方面。

J Cardiothorac Anesth. 1990 Apr;4(2):245-58. doi: 10.1016/0888-6296(90)90246-c.

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