一名免疫功能正常、心脏正常的患者发生由[未提及具体病因]引起的主动脉瓣和三尖瓣心内膜炎。
Aortic and tricuspid endocarditis due to in an immunocompetent patient with a normal heart.
作者信息
Lourenço Sofia, Caeiro Fernando, Ramos Alexandra, Pacheco MªHelena, Malhado José A
机构信息
Service of Internal Medicine 1, Curry Cabral Hospital, Lisbon, Portugal.
出版信息
J Cardiol Cases. 2009 Nov 12;1(2):e95-e97. doi: 10.1016/j.jccase.2009.09.001. eCollection 2010 Apr.
Endocarditis due to , an agent previously included in the denomination is a serious disease, often associated with lesions of the colon mucosa. Aortic valve is more often affected and tricuspid involvement is quite rare. We present a case of a 56-year-old man who was admitted with a 2-month history of fever. Echocardiogram revealed vegetations on the aortic and tricuspid valve and blood cultures grew . Thoracic X-ray and computed tomography were consistent with septic pulmonary embolism. Despite optimal antibiotic therapy he developed an ischemic stroke and acute aortic regurgitation, which led to emergent surgery. Colonoscopy found a benign adenoma which was excised, and the patient had a full recovery.
由一种先前包含在某命名中的病原体引起的心内膜炎是一种严重疾病，常与结肠黏膜病变相关。主动脉瓣更常受累，三尖瓣受累相当罕见。我们报告一例56岁男性患者，因发热2个月入院。超声心动图显示主动脉瓣和三尖瓣有赘生物，血培养培养出该病原体。胸部X线和计算机断层扫描与脓毒性肺栓塞相符。尽管进行了最佳抗生素治疗，他仍发生了缺血性中风和急性主动脉瓣关闭不全，导致紧急手术。结肠镜检查发现一个良性腺瘤并将其切除，患者完全康复。
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