Porres-Aguilar Mateo, Flavin Nina E, Fleming Rhonda V, Lalude Omosalewa
Division of Respiratory, Critical Care, and Occupational Pulmonary Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Intern Med. 2010;49(4):321-3. doi: 10.2169/internalmedicine.49.2869. Epub 2010 Feb 15.
Pneumococcal endocarditis is a very serious and rare clinical entity that results in significant morbidity and high mortality rates. It causes severe disease and is typically seen in alcoholics and immunocompromised patients. Antimicrobial therapy and timely surgery are warranted for optimal management and improving outcomes. We present a case of a previously healthy 31-year-old Hispanic man with bicuspid aortic valve who developed severe bivalvular pneumococcal endocarditis complicated by suppurative pericarditis that was promptly treated with antimicrobial therapy and subsequent aortic valve replacement with initial favorable clinical and hemodynamic improvement.
肺炎球菌性心内膜炎是一种非常严重且罕见的临床病症，会导致显著的发病率和高死亡率。它会引发严重疾病，通常见于酗酒者和免疫功能低下的患者。抗菌治疗和及时手术对于优化治疗管理及改善预后是必要的。我们报告一例病例，一名31岁既往健康的西班牙裔男性，患有二叶式主动脉瓣，发生了严重的双瓣膜肺炎球菌性心内膜炎，并伴有化脓性心包炎，通过抗菌治疗及随后的主动脉瓣置换术得到及时治疗，初期临床和血流动力学均有良好改善。
