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医疗保健相关的肺动脉瓣感染性心内膜炎。

Healthcare-associated infective endocarditis of the pulmonary valve.

作者信息

Laursen Marie Louise, Gill Sabine, Moller Jacob Eifer, Gustavsen Pia Hass

机构信息

Department of Cardiology, Odense University Hospital, Odense C, Denmark.

出版信息

BMJ Case Rep. 2015 Mar 27;2015:bcr2014207577. doi: 10.1136/bcr-2014-207577.

DOI:10.1136/bcr-2014-207577
PMID:25820109
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4386439/
Abstract

We report a case of a 66-year-old man with known ischaemic heart disease, diabetes mellitus and stage 4 kidney disease who was admitted to our tertiary centre with shortness of breath and atrial flutter. Transoesophageal echocardiography (TOE) was without suspicion of endocarditis. During hospitalisation, the patient suffered a nosocomial infection in a peripheral vascular catheter caused by Staphylococcus aureus. TOE after positive blood cultures revealed a new vegetation on the pulmonary valve that resolved after antibiotic treatment.

摘要

我们报告一例66岁男性患者，患有缺血性心脏病、糖尿病和4期肾病，因呼吸急促和心房扑动入住我们的三级医疗中心。经食管超声心动图（TOE）未怀疑有感染性心内膜炎。住院期间，患者在外周血管导管发生了由金黄色葡萄球菌引起的医院感染。血培养阳性后的TOE显示肺动脉瓣有新的赘生物，抗生素治疗后消退。