Garel C, Hassan M, Legrand I, Magnier S
Département de radiologie, hôpital Robert-Debré, faculté Lariboisière Saint-Louis, Paris, France.
Pediatrie. 1990;45(6):387-90.
A case of symptomatic splenic infarct in an 11 year-old girl suffering from bacterial endocarditis is reported; this occurrence is a rare and serious condition in this disease. The diagnosis of haemorrhagic splenic infarct was suggested by ultrasonography and confirmed by MRI. No splenic abscess developed and this was correlated to a rapid improvement of the clinical state following an antibiotic treatment only. The authors discuss the role of sonography and MR in the etiologic diagnosis of splenic involvement in patients suffering from bacterial endocarditis.
报告了一例11岁患细菌性心内膜炎女孩出现症状性脾梗死的病例;这种情况在该疾病中罕见且严重。超声检查提示出血性脾梗死,磁共振成像(MRI)予以确诊。未发生脾脓肿,这与仅接受抗生素治疗后临床状态迅速改善相关。作者讨论了超声检查和磁共振成像在细菌性心内膜炎患者脾受累病因诊断中的作用。