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妊娠期感染性心内膜炎的不寻常表现:一例病例报告。

Unusual presentation of infective endocarditis during pregnancy: A case report.

作者信息

Khan Fahad, Sattar Muhammad Naveed, Khan Sohaib, Lashari Nawaz

机构信息

Cardiology Medicine, Civil Hospital Karachi, Sindh.

Dow University of Health Sciences, Karachi.

出版信息

J Pak Med Assoc. 2018 Jun;68(6):947-949.

Abstract

Infective endocarditis (IE) is uncommon but a very serious infection during pregnancy. In most cases, the disease tends to run a subacute course and involves the mitral valve. We present the case of a 25-year old pregnant female who developed shortness of breath and fever 2 weeks prior to parturition. The symptoms did not subside after her delivery, which was carried out via c-section. Based on vegetations attached to aortic valve cusps and positive blood culture for staphylococcus Aureus, the diagnosis of infective endocarditis was made.

摘要

感染性心内膜炎(IE)在孕期并不常见,但却是一种非常严重的感染。在大多数情况下,该病往往呈亚急性病程,且累及二尖瓣。我们报告一例25岁的孕妇病例,她在分娩前2周出现呼吸急促和发热症状。剖宫产术后症状仍未缓解。根据主动脉瓣叶上的赘生物以及金黄色葡萄球菌血培养阳性结果,确诊为感染性心内膜炎。

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