Bachrif Mohammed, Laachach Houssam, Benahmed Ilham, Berrajaa Mehdi, Fliti Alaa, Aziouaz Mustapha, Ismaili Nabila, Elouafi Noha
Service de Cardiologie, Faculté de Médecine, Université Mohammed Premier, Oujda, Maroc.
Pan Afr Med J. 2019 Apr 8;32:157. doi: 10.11604/pamj.2019.32.157.13009. eCollection 2019.
Infectious endocarditis is regarded as a potentially serious pathology despite the advances in diagnostic and treatment options. Valves on the left side of the heart are most affected and embolic events, mycotic aneurysms, abscesses as well as valve perforations are life-threatening consequences of this disease. We here report a case of endocarditis with aortic and mitral valve involvement complicated by splenic and renal infarction, cerebral mycotic aneurysm and mitral valve perforation. The interest in the subject of this case study is the positive medico-surgical treatment outcome obtained despite a multitude of complications.
尽管在诊断和治疗方法上取得了进展,但感染性心内膜炎仍被视为一种潜在的严重病理状况。心脏左侧的瓣膜最易受累,而栓塞事件、真菌性动脉瘤、脓肿以及瓣膜穿孔都是这种疾病危及生命的后果。我们在此报告一例累及主动脉瓣和二尖瓣的感染性心内膜炎病例,该病例并发脾梗死、肾梗死、脑真菌性动脉瘤和二尖瓣穿孔。本病例研究的关注点在于,尽管出现了众多并发症,但仍获得了积极的内外科治疗结果。