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由……引起的自体瓣膜心内膜炎:一例病例报告及文献复习

Native-valve endocarditis caused by : a case report and review of literature.

作者信息

Rodrigues Caio Godoy, Rays Jairo, Kanegae Marcia Yoshie

机构信息

University of São Paulo (USP), School of Medicine, Internal Medicine Department. São Paulo, SP, Brazil.

University of São Paulo (USP), Hospital Universitário, Internal Medicine Division. São Paulo, SP, Brazil.

出版信息

Autops Case Rep. 2017 Sep 30;7(3):50-55. doi: 10.4322/acr.2017.029. eCollection 2017 Jul-Sep.

Abstract

is a Gram-negative aerobic bacterium first described by Yabuuchi and Ohyama in 1971. is frequently found in aquatic environments. Abdominal, urinary tract, ocular, pneumonia, meningitis, and osteomyelitis are the most common infections. Infective endocarditis is rare. As far as we know, until now, only 19 cases have been described, including this current report. We report the case of community-acquired native valve endocarditis caused by in an elderly patient without a concomitant diagnosis of a malignancy or any known immunodeficiency. The patient presented with a 2-month history of fever, weight loss, and progressive dyspnea. On physical examination, mitral and aortic murmurs were present, along with Janeway's lesions, and a positive blood culture for . The transesophageal echocardiogram showed vegetation in the aortic valve, which was consistent with the diagnosis of infective endocarditis.

摘要

是一种革兰氏阴性需氧菌,于1971年由矢吹和小山首次描述。它经常出现在水生环境中。腹部、泌尿道、眼部、肺炎、脑膜炎和骨髓炎是最常见的感染。感染性心内膜炎很少见。据我们所知,截至目前,包括本报告在内,仅描述了19例病例。我们报告了一例由该菌引起的社区获得性原发性瓣膜心内膜炎病例,患者为一名老年患者,未同时诊断出恶性肿瘤或任何已知的免疫缺陷。患者有2个月的发热、体重减轻和进行性呼吸困难病史。体格检查发现有二尖瓣和主动脉瓣杂音,伴有詹韦氏损害,血培养该菌呈阳性。经食管超声心动图显示主动脉瓣有赘生物,这与感染性心内膜炎的诊断一致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7660/5634435/dee11362ba4a/autopsy-07-03050-g01.jpg

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