原发性主动脉瓣真菌性心内膜炎
Native aortic valve fungal endocarditis.
作者信息
Chaudhary Shyam Chand, Sawlani Kamal Kumar, Arora Rahul, Kumar Vivek
机构信息
Department of Medicine, KG Medical University (Erstwhile CSMMU), Lucknow, Uttar Pradesh, India.
出版信息
BMJ Case Rep. 2013 Feb 20;2013:bcr2012007144. doi: 10.1136/bcr-2012-007144.
Abstract
Infective endocarditis is the most common and dangerous form of endovascular infection. Fungal endocarditis especially of native valve is rare with Candida albicans being the causative organism in one-fourth of such cases. Diagnosis of such cases is further complicated if blood cultures are sterile, vegetations are not initially seen on echocardiogram and patient presents with non-specific symptoms. We hereby report a patient with native valve fungal endocarditis, treated successfully with voriconazole.
摘要
感染性心内膜炎是血管内感染最常见且最危险的形式。真菌性心内膜炎，尤其是自体瓣膜真菌性心内膜炎较为罕见，白色念珠菌是此类病例中四分之一的致病微生物。如果血培养无菌、超声心动图最初未发现赘生物且患者表现为非特异性症状，那么此类病例的诊断会更加复杂。我们在此报告一例自体瓣膜真菌性心内膜炎患者，经伏立康唑成功治疗。
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