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未矫正室间隔缺损和动脉导管未闭患者的右侧感染性心内膜炎：两例报告。

Right-sided infective endocarditis in patients with uncorrected ventricular septal defect and patent ductus arteriosus: Two case reports.

作者信息

Sattwika Prenali Dwisthi, Hartopo Anggoro Budi, Anggrahini Dyah Wulan, Mumpuni Hasanah, Dinarti Lucia Kris

机构信息

Department of Internal Medicine Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada/Dr. Sardjito Hospital Yogyakarta Indonesia.

Department of Cardiology and Vascular Medicine Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada/Dr. Sardjito Hospital Yogyakarta Indonesia.

出版信息

Clin Case Rep. 2018 Sep 29;6(11):2168-2173. doi: 10.1002/ccr3.1672. eCollection 2018 Nov.

DOI:10.1002/ccr3.1672
PMID:30455914
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6230663/
Abstract

Uncorrected left-to-right shunt congenital heart defect is a predisposing factor for infective endocarditis (IE), especially right-sided IE which has different clinical manifestations and complications from left-sided IE. Prompt diagnosis by means of transthoracic echocardiography and timely antibiotics management for IE are encouraged to prevent multiorgan failure and fatal pulmonary embolism.

摘要

未纠正的左向右分流型先天性心脏缺陷是感染性心内膜炎（IE）的一个易感因素，尤其是右侧IE，其临床表现和并发症与左侧IE不同。鼓励通过经胸超声心动图进行快速诊断，并对IE及时进行抗生素治疗，以预防多器官功能衰竭和致命性肺栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5764/6230663/546c13c29d05/CCR3-6-2168-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5764/6230663/eaaa580c6db7/CCR3-6-2168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5764/6230663/4cb2157224f4/CCR3-6-2168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5764/6230663/9b38c5463332/CCR3-6-2168-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5764/6230663/546c13c29d05/CCR3-6-2168-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5764/6230663/eaaa580c6db7/CCR3-6-2168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5764/6230663/4cb2157224f4/CCR3-6-2168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5764/6230663/9b38c5463332/CCR3-6-2168-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5764/6230663/546c13c29d05/CCR3-6-2168-g004.jpg

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High incidence of infective endocarditis in adults with congenital ventricular septal defect.先天性室间隔缺损成人感染性心内膜炎的高发病率。
Heart. 2016 Nov 15;102(22):1835-1839. doi: 10.1136/heartjnl-2015-309133. Epub 2016 Jul 21.
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Polymicrobial Infective Endocarditis: Clinical Features and Prognosis.多微生物感染性心内膜炎：临床特征与预后
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Infective endocarditis.感染性心内膜炎。
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