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吸出的冠状动脉血栓栓塞标本培养：一种用于感染性心内膜炎的特殊诊断方法。

Culture of the aspirated coronary thromboembulus specimen: a peculiar diagnostic method for infective endocarditis.

作者信息

Slavich Massimo, Fisicaro Andrea, Agricola Eustachio, Coppi Giovanni, Ballarotto Carlo, Margonato Alberto

机构信息

Division of Cardiology, San Raffaele University Hospital, Via Olgettina 58, 20100 Milan, Italy.

出版信息

Case Rep Med. 2013;2013:607393. doi: 10.1155/2013/607393. Epub 2013 Feb 27.

DOI:10.1155/2013/607393
PMID:23533433
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3600228/
Abstract

A 69-year-old man was admitted to our hospital for persistent fever, myalgias, articular pain, headache, and hypoaesthesia of the scalp. The clinical scenario was typical for giant-cell arteritis. During hospital stay, patient developed fugax amaurosis, stroke, and acute coronary syndrome. The definitive diagnosis of infective endocarditis, supported by transesophageal echocardiography, was confirmed only by culturing the material obtained during angiography and coronary thromboaspiration.

摘要

一名69岁男性因持续发热、肌痛、关节疼痛、头痛和头皮感觉减退入住我院。临床症状典型，符合巨细胞动脉炎。住院期间，患者出现一过性黑矇、中风和急性冠状动脉综合征。经食管超声心动图支持感染性心内膜炎的明确诊断，仅通过对血管造影和冠状动脉血栓抽吸过程中获取的材料进行培养得以证实。

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Culture of the aspirated coronary thromboembulus specimen: a peculiar diagnostic method for infective endocarditis.吸出的冠状动脉血栓栓塞标本培养：一种用于感染性心内膜炎的特殊诊断方法。
Case Rep Med. 2013;2013:607393. doi: 10.1155/2013/607393. Epub 2013 Feb 27.
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本文引用的文献

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ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation.ST段抬高型急性心肌梗死患者管理的欧洲心脏病学会指南
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Eur Heart J. 2009 Oct;30(19):2369-413. doi: 10.1093/eurheartj/ehp285. Epub 2009 Aug 27.
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Cardiac death and reinfarction after 1 year in the Thrombus Aspiration during Percutaneous coronary intervention in Acute myocardial infarction Study (TAPAS): a 1-year follow-up study.急性心肌梗死经皮冠状动脉介入治疗中血栓抽吸研究（TAPAS）1年后的心源性死亡和再梗死：一项1年随访研究
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The American College of Rheumatology 1990 criteria for the classification of giant cell arteritis.美国风湿病学会1990年巨细胞动脉炎分类标准。
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