心脏病患者的布鲁氏菌病：何时应诊断为心内膜炎？

Brucellosis in patients with heart disease: when should endocarditis be diagnosed?

作者信息

Flugelman M Y, Galun E, Ben-Chetrit E, Caraco J, Rubinow A

机构信息

Department of Medicine A, Hadassah University Hospital, Jerusalem, Israel.

出版信息

Cardiology. 1990;77(4):313-7. doi: 10.1159/000174614.

DOI:10.1159/000174614

PMID:2073648

Abstract

Three patients, 2 with congenital valvular heart disease and 1 with a prosthetic aortic valve developed brucellosis. Brucella melitensis was isolated from blood of all 3 patients. The clinical and microbiological features suggested Brucella endocarditis and following successful antibiotic therapy, no surgery was required. The salient diagnostic features are discussed with emphasis on the management and prognosis of patients with Brucella endocarditis.

摘要

三名患者，2例患有先天性瓣膜性心脏病，1例有人造主动脉瓣膜，均患上了布鲁氏菌病。从所有3名患者的血液中分离出了羊种布鲁氏菌。临床和微生物学特征提示为布鲁氏菌性心内膜炎，在抗生素治疗成功后，无需进行手术。本文讨论了主要的诊断特征，并重点强调了布鲁氏菌性心内膜炎患者的管理和预后。