Fenn Dominic William, Ramoutar Anil, Jacob George, Bin Xiao Han
Homerton Hospital, London, UK.
Department of Cardiology, Homerton Hospital, London, UK.
BMJ Case Rep. 2014 Nov 20;2014:bcr2014204989. doi: 10.1136/bcr-2014-204989.
A 49-year-old man presented to our department with an acute history of right leg tenderness, rash, swelling and fever. CT of the chest, abdomen and pelvis and a transoesophageal echocardiogram confirmed the diagnosis of mitral valve infective endocarditis with distal splenic emboli. Positive blood cultures revealed the causative organism to be Streptobacillus moniliformis. The patient was treated with high-dose antibiotics and had mitral valve replacement surgery.
一名49岁男性因右腿压痛、皮疹、肿胀和发热的急性病史前来我院就诊。胸部、腹部和骨盆的CT以及经食管超声心动图确诊为二尖瓣感染性心内膜炎伴远端脾栓塞。血培养阳性显示致病微生物为念珠状链杆菌。该患者接受了大剂量抗生素治疗并进行了二尖瓣置换手术。