Randazzo M, Flückiger U, Eich G, Komminoth P, Lauber P, Herren T
Chirurgische Klinik, Spital Limmattal, Schlieren, Schweiz.
Internist (Berl). 2010 Sep;51(9):1185-9. doi: 10.1007/s00108-010-2614-5.
The right-sided heart valves are affected in about 10% of patients with infective endocarditis. However, the tricuspid valve is the most frequently involved valve in intravenous drug users with infective endocarditis. When treated with antibiotics, the prognosis is considered favorable. Reported here is the case of a drug-addicted patient with polymicrobial (Staphylococcus aureus and Streptococcus pneumoniae) infective endocarditis of the tricuspid valve and a lethal outcome due to multiple organ failure. The indications and options to perform cardiac surgery in patients with infective endocarditis of the tricuspid valve are discussed.
在感染性心内膜炎患者中，约10%的患者右侧心脏瓣膜会受到影响。然而，在患有感染性心内膜炎的静脉药物使用者中，三尖瓣是最常受累的瓣膜。使用抗生素治疗时，预后被认为是良好的。本文报告了一例药物成瘾患者，患有三尖瓣多微生物（金黄色葡萄球菌和肺炎链球菌）感染性心内膜炎，并因多器官衰竭导致死亡。文中讨论了三尖瓣感染性心内膜炎患者进行心脏手术的指征和选择。
