一名青年男性的感染性心内膜炎合并上颌窦炎并并发脑栓塞
Endocarditis Associated With Maxillary Sinusitis and Complicated by Cerebral Emboli in a Young Man.
作者信息
Duzenli Anthony E, Dwyer John, Carey Jeanne
机构信息
NYU Lutheran Medical Center, Brooklyn, NY, USA.
出版信息
J Investig Med High Impact Case Rep. 2017 Apr 13;5(2):2324709617704003. doi: 10.1177/2324709617704003. eCollection 2017 Apr-Jun.
Abstract
HACEK endocarditis is often difficult to diagnose given the slow-growing characteristics of the organisms involved. , one of the HACEK organisms, is an uncommon cause of endocarditis. We describe a case of a previously healthy young man with endocarditis that was associated with maxillary sinusitis and severe systemic complications, including septic cerebral emboli and mitral valve perforation. Previously reported cases have also described a predilection for younger people, cardiac valve pathology, and a high prevalence of stroke.
摘要
鉴于所涉及病原体生长缓慢的特性，HACEK心内膜炎常常难以诊断。其中一种HACEK病原体是心内膜炎的罕见病因。我们描述了一例既往健康的年轻男性患心内膜炎的病例，该病例与上颌窦炎及严重的全身并发症相关，包括感染性脑栓塞和二尖瓣穿孔。既往报道的病例也描述了其对年轻人的偏好、心脏瓣膜病变以及中风的高发生率。
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