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[一名71岁患有脓毒症、心包积液和肺部浸润的患者]

[71-year old patient with sepsis, pericardial effusion and pulmonary infiltrates].

作者信息

Leopold M, Schellong S

机构信息

II. Medizinische Klinik, Krankenhaus Dresden-Friedrichstadt, Friedrichstraße 41, 01069, Dresden.

出版信息

Internist (Berl). 2011 Nov;52(11):1351-6. doi: 10.1007/s00108-010-2781-4.

Abstract

A 71-year old man with sepsis, hemorrhagic pericardial effusion and pulmonary embolism was admitted on the intensive care unit. In blood cultures and in pericardial effusion, Staphylococcus aureus was isolated. Transeosophageal echocardiography showed a massive pulmonary valve endocarditis. Right-sided endocarditis is a rare variant of endocarditis and may occur in consequence of contaminated drug solutions or infected intravenous catheter. The prognosis is relatively good, worse prognosis show fungal infections and vegetation with a length >20 mm.

摘要

一名患有脓毒症、出血性心包积液和肺栓塞的71岁男性入住重症监护病房。在血培养和心包积液中分离出金黄色葡萄球菌。经食管超声心动图显示有巨大的肺动脉瓣心内膜炎。右侧心内膜炎是心内膜炎的一种罕见变体,可能因药物溶液污染或静脉内导管感染而发生。预后相对较好,真菌感染和赘生物长度>20 mm的预后较差。

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