左心室辅助装置植入后出现的感染性右心房血栓。
Infected right atrial thrombus after explantation of a left ventricular assist device.
作者信息
Akay Mehmet H, Sirlak Mustafa, Gregoric Igor D, Frazier O H
机构信息
Department of Cardiothoracic Surgery, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77030, USA.
出版信息
Tex Heart Inst J. 2012;39(3):390-2.
Abstract
Finding the source of a fungal infection and selecting the most appropriate treatment for candidemia is often challenging for physicians, especially when the patient has a complex medical history. We describe the case of a 48-year-old woman who had persistent candidemia after undergoing explantation of a left ventricular assist device. The source of the infection was found to be a right atrial thrombus. The mass was removed, and the patient underwent aggressive treatment with micafungin. Removal of the right atrial mass, followed by potent antifungal treatment, resulted in a successful recovery.
摘要
对于医生来说，找出真菌感染的源头并为念珠菌血症选择最合适的治疗方法通常具有挑战性，尤其是当患者有复杂的病史时。我们描述了一名48岁女性的病例，她在左心室辅助装置植入物取出术后持续发生念珠菌血症。发现感染源是右心房血栓。血栓被清除，患者接受了米卡芬净的积极治疗。清除右心房血栓，随后进行强效抗真菌治疗，使患者成功康复。
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