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人工瓣膜心内膜炎合并瓣周脓肿的成功药物治疗

Successful medical management of prosthetic-valve endocarditis complicated by perivalvular abscess.

作者信息

Nunes Maria do Carmo Pereira, Gelape Claudio Leo, Barbosa Felipe Batista Lima, Leduc Luciano Ribeiro, Araújo Christiano Gonçalves de, Chalup Lucas Fabel, Nicoliello Marcela Ferreira, Ferrari Teresa Cristina Abreu

机构信息

Universidade Federal de Minas Gerais, Faculdade de Medicina, Departamento de Clínica Médica, Av. Prof. Alfredo Balena, 190 - Belo Horizonte, MG, Brazil.

出版信息

Rev Bras Cir Cardiovasc. 2009 Jul-Sep;24(3):416-8. doi: 10.1590/s0102-76382009000400026.

DOI:10.1590/s0102-76382009000400026
PMID:20011894
Abstract

We present a case of a 44-year-old man with prosthetic aortic endocarditis complicated by a perivalvular abscess. He evolved with improvement of the infectious process only under clinical treatment. The patient presented a prior history of rheumatic fever and had previously been undergone three valve replacements due to prosthesis dysfunction and previous endocarditis. In this case report we discuss the main features of perivalvular abscess complicating infective endocarditis.

摘要

我们报告一例44岁男性患者,患有人工主动脉瓣心内膜炎并伴有瓣周脓肿。仅在临床治疗下,其感染过程有所改善。该患者有风湿热病史,此前因人工瓣膜功能障碍和既往心内膜炎已接受过三次瓣膜置换术。在本病例报告中,我们讨论了感染性心内膜炎并发瓣周脓肿的主要特征。

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