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室间隔缺损患者发生由[未提及具体病因]引起的三尖瓣心内膜炎:一种罕见表现——病例报告及文献复习

Tricuspid Valve Endocarditis due to in a Patient with Ventricular Septal Defect: A Rare Manifestation-Case Report and Review of the Literature.

作者信息

Pushpakumara J, Mudiyanse G, Jayawardana A, Siriwardana J, Shyamali N L A, Indrakumar J

机构信息

University Medical Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka.

Department of Medicine, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.

出版信息

Case Rep Infect Dis. 2017;2017:7152902. doi: 10.1155/2017/7152902. Epub 2017 Nov 1.

Abstract

endocarditis has 18%-62% association with colonic neoplasms with multivalvular involvement and affects mainly elderly males leading to severe cardiac dysfunction, septic embolization, and neurological complications. The aortic valve is the commonest valve to be affected followed by aortic and mitral valves together. However, involvement of tricuspid valve is extremely rare. There are no reported cases of endocarditis affecting the tricuspid valve in the presence of ventricular septal defect with left to right shunt. We report the case of a 25-year-old female with ventricular septal defect who was diagnosed to have tricuspid valve endocarditis caused by . Her detailed colonoscopy, upper gastrointestinal endoscopy, liver biochemistry, and ultrasound scan of the abdomen were normal. She made a very good recovery with six weeks of intravenous antibiotics. This is the first case of tricuspid valve endocarditis caused by in association with ventricular septal defect without any colonic lesions.

摘要

心内膜炎与多瓣膜受累的结肠肿瘤有18%-62%的关联,主要影响老年男性,导致严重的心功能不全、脓毒性栓塞和神经并发症。主动脉瓣是最常受累的瓣膜,其次是主动脉瓣和二尖瓣同时受累。然而,三尖瓣受累极为罕见。尚无报道在存在室间隔缺损且有左向右分流的情况下,心内膜炎累及三尖瓣的病例。我们报告一例25岁患有室间隔缺损的女性,被诊断为由……引起的三尖瓣心内膜炎。她的详细结肠镜检查、上消化道内镜检查、肝脏生化检查以及腹部超声扫描均正常。经六周静脉抗生素治疗后,她恢复得很好。这是首例由……引起的与室间隔缺损相关且无任何结肠病变的三尖瓣心内膜炎病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2167/5687147/d1c7d54cfad4/CRIID2017-7152902.001.jpg

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