Ng Jacinta, Downton Teesha, Davidson Natalie, Marangou James
Department of General Medicine, Royal Darwin Hospital, Tiwi, Northern Territory, Australia.
Department of Infectious Disease, Royal Darwin Hospital, Tiwi, Northern Territory, Australia.
BMJ Case Rep. 2019 May 9;12(5):e229478. doi: 10.1136/bcr-2019-229478.
An 18-year-old woman presented to our institution with fever, bilateral flank pain, headache and photophobia. She had a previous atrial septal defect (ASD) closure device inserted at the age of 9 years. Blood cultures on admission were positive for , and transoesophageal echocardiogram (TOE) revealed an echodensity associated with the ASD closure device, most consistent with a vegetation. She was treated for infective endocarditis with 6 weeks of intravenous benzylpenicillin, and follow-up TOE showed resolution of the echodensity. To our knowledge, no cases of endocarditis of an ASD closure device have previously been reported.
一名18岁女性因发热、双侧胁腹疼痛、头痛和畏光前来我院就诊。她曾在9岁时植入过房间隔缺损（ASD）封堵装置。入院时血培养结果为阳性，经食管超声心动图（TOE）显示与ASD封堵装置相关的回声密度，最符合赘生物表现。她接受了6周静脉注射苄星青霉素治疗感染性心内膜炎，随访TOE显示回声密度消失。据我们所知，此前尚无ASD封堵装置感染性心内膜炎的病例报道。
