Lim Seok Mei, Wong Beatrix, Cross Gail Brenda, Merchant Reshma
Internal Medicine Resident, National University Hospital, 5 Lower Kent Ridge Road, 119074, Singapore.
Department of Geriatric Medicine, National University Hospital, Singapore, 5 Lower Kent Ridge Road, 119074, Singapore.
IDCases. 2018 Jul 11;13:e00427. doi: 10.1016/j.idcr.2018.e00427. eCollection 2018.
An 85-year-old man with a history of aortic valve replacement presented with lower limb cramps. He was initially diagnosed with degenerative disc disease, but was found to have infective endocarditis with septic embolic strokes causing a central poststroke pain syndrome. Cardiothoracic surgery was deemed too high risk and the patient completed 6 weeks of intravenous antimicrobials as well as prolonged inpatient rehabilitation. is an aquaculture pathogen which typically affects elderly and immunocompromised patients. Atypical presentations of endocarditis in the elderly can lead to delays in diagnosis.
一名有主动脉瓣置换史的85岁男性出现下肢痉挛。他最初被诊断为退行性椎间盘疾病，但后来发现患有感染性心内膜炎，伴有脓毒性栓塞性中风，导致中风后中枢性疼痛综合征。心胸外科手术被认为风险过高，患者完成了6周的静脉抗菌治疗以及长期的住院康复治疗。[病原体名称未给出，原文此处有误，推测可能是想说某病原体]是一种水产养殖病原体，通常影响老年人和免疫功能低下的患者。老年人感染性心内膜炎的非典型表现可能导致诊断延迟。
