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右颈内静脉双腔导管在一个不寻常的部位——上腔静脉与右心房交界处诱发了两处内皮细胞下脓肿:一例病例报告。

Double-lumen catheter in the right jugular vein induces two sub-endothelial abscesses in an unusual place, the transition between the superior vena cava and the right atrium: a case report.

作者信息

Lima João Kennedy Teixeira, Lima Sylvia Rannyelle Teixeira, de Lima Antonio Leonel, Agra Cícero Valdizébio Pereira, Valenti Vitor Engrácia, Gomes Rayana Loch, Rodrigues Luciano Miller, Correa João Antonio, Raimundo Rodrigo D, de Abreu Luiz Carlos

机构信息

Unidade Acadêmica Ciências da Vida, Universidade Federal de Campina Grande, Cajazeiras, PB, Brasil ; Laboratório de Delineamento de Estudos e Escrita Científica, Departamento de Saúde da Coletividade, Disciplina de Metodologia Científica, Faculdade de Medicina do ABC, Av. Príncipe de Gales, 821, 09060-650 Santo André, SP, Brazil.

Unidade Acadêmica Ciências da Vida, Universidade Federal de Campina Grande, Cajazeiras, PB, Brasil.

出版信息

Int Arch Med. 2014 Jul 31;7:37. doi: 10.1186/1755-7682-7-37. eCollection 2014.

DOI:10.1186/1755-7682-7-37
PMID:25110520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4125593/
Abstract

Endocarditis is a type of infection that is common in internal medicine wards and in haemodialysis clinics. The location that is most affected are the heart valves. Herein, we report a case of an uncommon abscess, a sub-endothelial abscess between the transition of the superior vena cava and the right atrium. There were several emboli to the lung and foot, and the agent was related to Staphylococcus aureus and a double-lumen catheter. Usually, this type of abscess is located in valves, either the tricuspid valve if related to catheters or injection drug use or the mitral valve if related to other causes. An exhaustive review was made, but we found no information about the location of this abscess and the rarity of the event motivating the report of infection.

摘要

心内膜炎是一种在内科病房和血液透析诊所常见的感染类型。受影响最严重的部位是心脏瓣膜。在此,我们报告一例罕见的脓肿病例,即上腔静脉与右心房交界处的内皮细胞下脓肿。有多个肺和足部栓子,病原体与金黄色葡萄球菌和双腔导管有关。通常,这种类型的脓肿位于瓣膜,与导管或注射吸毒相关时位于三尖瓣,与其他原因相关时位于二尖瓣。我们进行了详尽的文献检索,但未找到关于此脓肿位置的信息,且该感染事件罕见,故予以报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d050/4125593/0e1b3db05663/1755-7682-7-37-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d050/4125593/d1a2e2fc9ce0/1755-7682-7-37-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d050/4125593/04f68290e383/1755-7682-7-37-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d050/4125593/85a2cf4c39dd/1755-7682-7-37-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d050/4125593/0e1b3db05663/1755-7682-7-37-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d050/4125593/d1a2e2fc9ce0/1755-7682-7-37-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d050/4125593/04f68290e383/1755-7682-7-37-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d050/4125593/85a2cf4c39dd/1755-7682-7-37-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d050/4125593/0e1b3db05663/1755-7682-7-37-4.jpg

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本文引用的文献

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Isolated pulmonary infective endocarditis with septic pulmonary embolism complicating a right ventricular outflow tract obstruction: scarce and devious presentation.孤立性肺感染性心内膜炎合并脓毒性肺栓塞,并发右心室流出道梗阻:罕见且隐匿的表现。
Case Rep Surg. 2013;2013:746589. doi: 10.1155/2013/746589. Epub 2013 Sep 9.
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Infective endocarditis.
感染性心内膜炎
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Vascular access strategy for delivering long-term antimicrobials to patients with infective endocarditis: device type, risk of infection and mortality.为感染性心内膜炎患者提供长期抗菌药物的血管通路策略:装置类型、感染风险和死亡率。
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6
Methicillin-resistant Staphylococcus aureus and infective endocarditis: more than a nuisance in the face of resistance.耐甲氧西林金黄色葡萄球菌与感染性心内膜炎:面对耐药性,不止是个麻烦事。
Future Cardiol. 2012 Jul;8(4):499-502. doi: 10.2217/fca.12.42.
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Hemodialysis catheter infection with unusual presentation and grave outcome.
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[Diagnosis of infective endocarditis by Duke criteria and a new national criteria in a cohort of 205 patients].[采用杜克标准和一项新的国家标准对205例患者队列进行感染性心内膜炎的诊断]
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