Rali Aniket S, Al-Kofahi Mejalli, Patel Nilay, Wiele Benjamin, Shah Zubair, Nath Jayant
Department of Cardiovascular Diseases, University of Kansas Medical Center, Kansas City, KS, USA.
Department of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Case Rep Cardiol. 2019 Jan 10;2019:7257401. doi: 10.1155/2019/7257401. eCollection 2019.
Over the past five decades, the incidence of intravenous drug use- (IVDU-) associated infective endocarditis (IE) has been on the rise in North America. Classically, IVDU has been thought to affect right-sided valves. However, in recent times a more variable presentation of IVDU-associated IE has been reported. Here, we report a case of a patient with a known history of IVDU who presented with clinical symptoms concerning for right- as well as left-sided endocarditis. In addition, we also discuss what should be considered adequate evaluation for patients with suspected endocarditis, and more specifically, what should be the role of transesophageal echocardiography in patients with IE noted on transthoracic echocardiography.
在过去的五十年里，北美地区静脉注射吸毒（IVDU）相关感染性心内膜炎（IE）的发病率一直在上升。传统上，人们认为IVDU会影响右侧瓣膜。然而，近年来，有报道称IVDU相关IE的表现更为多样。在此，我们报告一例有IVDU病史的患者，其出现了提示右侧和左侧心内膜炎的临床症状。此外，我们还讨论了对于疑似心内膜炎患者应进行哪些充分评估，更具体地说，经胸超声心动图发现IE的患者，经食管超声心动图应发挥什么作用。
