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一例罕见的社区获得性原发性四瓣膜心内膜炎。

A rare case of community-acquired native quadruple-valve endocarditis.

作者信息

Haghighi Zahra Ojaghi, Nikparvar Marzieh, Alizadehasl Azin, Mostafavi Atoosa

机构信息

Department of Echocardiography, Shaheed Rajaie Cardiovascular Medical and Research Center, Tehran, Iran.

Cardiovascular Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.

出版信息

J Res Med Sci. 2014 Jan;19(1):69-71.

PMID:24672568
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3963326/
Abstract

We report the case of a male patient with community-acquired quadruple-valve endocarditis on presumed normal native valves. This patient had originally presented elsewhere with generalized edema and malaise and had been diagnosed with suspicious endocarditis and renal dysfunction, for which he unfortunately received incomplete treatment. Transthoracic and transesophageal echocardiographic examinations confirmed quadruple-valve endocarditis and ventricular septal defect.

摘要

我们报告一例社区获得性四瓣膜心内膜炎男性患者，其天然瓣膜推测正常。该患者最初在其他地方因全身水肿和不适就诊，被诊断为可疑心内膜炎和肾功能不全，不幸的是他接受了不完整的治疗。经胸和经食管超声心动图检查证实为四瓣膜心内膜炎和室间隔缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4a/3963326/8c9e365b1090/JRMS-19-69-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4a/3963326/c00443ca1197/JRMS-19-69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4a/3963326/f3b783e5f1ab/JRMS-19-69-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4a/3963326/8c9e365b1090/JRMS-19-69-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4a/3963326/c00443ca1197/JRMS-19-69-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4a/3963326/f3b783e5f1ab/JRMS-19-69-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4b4a/3963326/8c9e365b1090/JRMS-19-69-g003.jpg

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本文引用的文献

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Clinical and microbiologic features of multivalvular endocarditis.多瓣膜心内膜炎的临床和微生物学特征。
Curr Infect Dis Rep. 2010 Jul;12(4):237-43. doi: 10.1007/s11908-010-0112-5.
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Transthoracic and transesophageal echocardiography for the indication of suspected infective endocarditis: vegetations, blood cultures and imaging.经胸和经食管超声心动图用于疑似感染性心内膜炎的指征：赘生物、血培养和影像学检查。
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A case of right-side infective endocarditis with ventricular septal defect.
Infez Med. 2005 Mar;13(1):39-41.
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Repeated echocardiographic examinations of patients with suspected infective endocarditis.对疑似感染性心内膜炎患者进行多次超声心动图检查。
Heart. 2004 Sep;90(9):1020-4. doi: 10.1136/hrt.2003.025585.
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Tex Heart Inst J. 2004;31(1):90-2.
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Quadri-valvular endocarditis caused by Streptococcus mutans.
Clin Microbiol Infect. 1997 Feb;3(1):139-141. doi: 10.1111/j.1469-0691.1997.tb00267.x.
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Endocarditis: basics.心内膜炎：基础
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