Dvoretsky L I, Yakovlev S V, Sergeeva E V, Kolendo S E
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia.
Ter Arkh. 2018 Nov 22;90(11):98-101. doi: 10.26442/terarkh2018901198-101.
A patient with infective endocarditis (IE), complicated by the development of the abscess of the spleen, is described. The diagnosis of IE was verified several months after the onset of clinical symptoms (fever, hemorrhagic skin rashes, splenomegaly).The patient suspected hemorrhagic vasculitis and lymphoma of the spleen, which were not confirmed. With transesophageal echocardiography, vegetations on the aortic valve have been identified, and, according to CT, a spleen infarct with suspected abscess. A successful simultaneous operation was performed - aortic valve replacement and splenectomy. An abscess was found in the spleen. The patient is discharged in a satisfactory condition.
本文描述了一名患有感染性心内膜炎（IE）并伴有脾脏脓肿形成的患者。IE的诊断在临床症状（发热、出血性皮疹、脾肿大）出现数月后得以证实。患者曾怀疑患有出血性血管炎和脾脏淋巴瘤，但未得到证实。经食管超声心动图检查发现主动脉瓣上有赘生物，CT检查显示脾脏梗死并疑似有脓肿。患者成功接受了同期手术——主动脉瓣置换术和脾切除术。术中发现脾脏有一个脓肿。患者出院时情况良好。
