Hashemi Helen, Endicott-Yazdani Tiana R, Oguayo Christopher, Harmon David M, Tran Tuan, Tsai-Nguyen Ginger, Benavides Raul, Spak Cedric W, Nguyen Hoang-Lan
Department of Internal Medicine, Baylor University Medical Center, Dallas, Texas.
Texas A&M University College of Medicine, Bryan, Texas.
Proc (Bayl Univ Med Cent). 2018 Jan 4;31(1):102-104. doi: 10.1080/08998280.2017.1400296. eCollection 2018 Jan.
We describe a patient with history of dextro-transposition of the great vessels, ventricular septal defect, and pulmonary valve replacement who presented with fatigue, prolonged fever, and leg edema. He was found to have kidney injury, pancytopenia, and liver congestion. Echocardiogram revealed thickened leaflets with prolapsing vegetation on the pulmonary valve. Given the negative blood cultures, high immunogobulin G titer (≥1:1024) and positive immunoglobulin M titer (≥1:20), he was diagnosed with endocarditis complicated with glomerulonephritis.
我们描述了一位患有大动脉右位转位、室间隔缺损和肺动脉瓣置换术病史的患者，该患者出现疲劳、持续发热和腿部水肿。他被发现有肾损伤、全血细胞减少和肝淤血。超声心动图显示肺动脉瓣叶增厚并有脱垂性赘生物。鉴于血培养阴性、免疫球蛋白G滴度高（≥1:1024）和免疫球蛋白M滴度阳性（≥1:20），他被诊断为心内膜炎并发肾小球肾炎。
