Department of Cardiac and Thoracic Surgery, The first affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People's Republic of China.
Rheumatol Int. 2012 Jul;32(7):2177-9. doi: 10.1007/s00296-010-1428-z. Epub 2010 Mar 30.
Behçet's disease involving the heart is extremely rare. Sometimes it is probable to misdiagnose as infective endocarditis when protracted fever and chill occurs. We report a case of protracted pyrexia of unknown origin after surgical excision of a cardiac tumour. Clinically and pathologically a diagnosis of infective endocarditis was probable but antibiotics had no effect. After case review the diagnosis of Behçet's disease was established and the patient was treated with glucocorticoids which resulted in resolution.
贝切特病累及心脏极为罕见。有时，当出现长期发热和寒战时，可能误诊为感染性心内膜炎。我们报告了一例心脏肿瘤切除术后不明原因的长期发热病例。临床上和病理学上可能诊断为感染性心内膜炎，但抗生素无效。病例回顾后，诊断为贝切特病，患者接受糖皮质激素治疗后病情缓解。
