心脏坏死性感染
Necrotizing infection of the heart.
作者信息
Ballard David H, Pennington George Patton, Pennington George P, Johnson Joe, Bhalla Sanjeev, Raptis Constantine
机构信息
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, United States.
Department of Surgery, Louisiana State University Health Shreveport, 1501 Kings Highway, Shreveport, LA, United States.
出版信息
Clin Imaging. 2018 Sep-Oct;51:111-113. doi: 10.1016/j.clinimag.2018.01.014. Epub 2018 Feb 6.
A case of necrotizing infection of the heart is presented. A 70-year-old woman presented with vague chest and abdominal pain. CT of the abdomen and pelvis was initially obtained, which demonstrated gas in the myocardium of the left ventricle. Subsequent chest CT, endoscopy, and abdominal surgical exploration did not reveal perforated viscus or diaphragm compromise. At median sternotomy, the inferior wall of the heart was found to be necrotic. Culture of the excised tissue grew E. coli. The patient expired shortly after surgical exploration.
本文报告一例心脏坏死性感染病例。一名70岁女性因胸部和腹部隐痛就诊。最初进行了腹部和盆腔CT检查，结果显示左心室心肌内有气体。随后的胸部CT、内镜检查和腹部手术探查均未发现脏器穿孔或膈肌受损。在正中胸骨切开术中，发现心脏下壁坏死。切除组织的培养物培养出大肠杆菌。患者在手术探查后不久死亡。
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