Schrouff I, Valdes-Socin H, Frippiat F, De Leval L, Soyeur D, Radermecker M A, Scheen A J
Université de Liège, Belgique.
Rev Med Liege. 2007 Nov;62(11):654-8.
Isolated tricuspid valve endocarditis is the least common endocarditis with an incidence of 5 to 10% in the literature. It is usually described in drug abusers and as a complication of nosocomial infections (catheter, post-surgery...). We present the case of a 70 year-old patient admitted for a fever of unknown origin lasting for 2 months. He had an isolated tricuspid endocarditis with Enterococcus faecalis. We review the diagnostic criterias predisposing factors and treatment of right-sided valvular endocarditis, particularly the endocarditis produced by Enterococcus faecalis, a rare etiopathogenic agent of tricuspid endocarditis.
孤立性三尖瓣心内膜炎是最罕见的心内膜炎，文献报道其发病率为5%至10%。它通常见于药物滥用者，也是医院感染（导管相关、术后……）的一种并发症。我们报告一例70岁患者，因不明原因发热持续2个月入院。他患有由粪肠球菌引起的孤立性三尖瓣心内膜炎。我们回顾了右侧瓣膜心内膜炎的诊断标准、易感因素及治疗方法，尤其是由粪肠球菌引起的心内膜炎，粪肠球菌是三尖瓣心内膜炎罕见的致病因素。
