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一例由链球菌性心内膜炎引起的主动脉心房瘘罕见病例。

A Rare Case of Aortoatrial Fistula from Streptococcal Endocarditis.

作者信息

Arshad Hammad, Young Meilin, Rali Parth

机构信息

Division of Pulmonary and Critical Care, Allegheny General Hospital, Pittsburgh, PA 15212, USA.

Division of Internal Medicine, Allegheny General Hospital, Pittsburgh, PA 15212, USA.

出版信息

Case Rep Pulmonol. 2017;2017:8189658. doi: 10.1155/2017/8189658. Epub 2017 Jul 5.

DOI:10.1155/2017/8189658
PMID:28761772
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5516764/
Abstract

We represent an unfortunate case of postinfluenza streptococcal endocarditis in a 34-year-old healthy male. He presented with hypoxic respiratory failure and was found to have mitral and aortic valve vegetation. Hospital course was complicated by the presence of an aortoatrial fistula from an aortic root abscess, persistent septic shock, and multiorgan failure.

摘要

我们报告了一例34岁健康男性患流感后链球菌性心内膜炎的不幸病例。他因低氧性呼吸衰竭就诊，被发现患有二尖瓣和主动脉瓣赘生物。住院过程因主动脉根部脓肿导致的主动脉心房瘘、持续性感染性休克和多器官功能衰竭而复杂化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/2754bf4ff4d7/CRIPU2017-8189658.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/727ed5c0fbde/CRIPU2017-8189658.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/1a7dce4d048f/CRIPU2017-8189658.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/ddd949d93602/CRIPU2017-8189658.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/bd3eb77cc5d4/CRIPU2017-8189658.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/6364dc5c1e2d/CRIPU2017-8189658.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/2754bf4ff4d7/CRIPU2017-8189658.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/727ed5c0fbde/CRIPU2017-8189658.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/1a7dce4d048f/CRIPU2017-8189658.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/ddd949d93602/CRIPU2017-8189658.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/bd3eb77cc5d4/CRIPU2017-8189658.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/6364dc5c1e2d/CRIPU2017-8189658.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/069a/5516764/2754bf4ff4d7/CRIPU2017-8189658.006.jpg

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本文引用的文献

1
Native aortic valve pneumococcal endocarditis--fulminant presentation.原发性主动脉瓣肺炎球菌性心内膜炎——暴发性表现。
Rev Bras Ter Intensiva. 2016 Jan-Mar;28(1):83-6. doi: 10.5935/0103-507X.20160004.
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Characteristics and prognosis of pneumococcal endocarditis: a case-control study.肺炎球菌性心内膜炎的特征和预后：一项病例对照研究。
Clin Microbiol Infect. 2016 Jun;22(6):572.e5-8. doi: 10.1016/j.cmi.2016.03.011. Epub 2016 Mar 26.
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Severe bivalvular pneumococcal endocarditis and suppurative pericarditis in an immunocompetent patient.
一名免疫功能正常的患者发生严重双瓣膜肺炎球菌性心内膜炎和化脓性心包炎。
Intern Med. 2010;49(4):321-3. doi: 10.2169/internalmedicine.49.2869. Epub 2010 Feb 15.
4
New look at an old problem: bacterial superinfection after influenza.新视角看待老问题：流感后细菌继发感染。
Am J Pathol. 2010 Feb;176(2):536-9. doi: 10.2353/ajpath.2010.090880. Epub 2009 Dec 17.
5
Transesophageal echocardiographic identification of an aortic root to right atrial fistula in a patient with acute streptococcal aortic valve bacterial endocarditis.经食管超声心动图对一名急性链球菌性主动脉瓣细菌性心内膜炎患者主动脉根部至右心房瘘的识别。
J Am Soc Echocardiogr. 2003 May;16(5):497-8. doi: 10.1016/s0894-7317(03)00179-2.