Division of Pediatric and Congenital Cardiothoracic Surgery, Department of Surgery and Perioperative Care, University of Texas Dell Medical School, Dell Children's Medical Center, Austin, Texas.
Division of Pediatric and Congenital Cardiothoracic Surgery, Department of Surgery and Perioperative Care, University of Texas Dell Medical School, Dell Children's Medical Center, Austin, Texas; Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Mexico.
Ann Thorac Surg. 2020 Mar;109(3):e179-e181. doi: 10.1016/j.athoracsur.2019.06.073. Epub 2019 Aug 16.
Bartonella endocarditis can be an elusive diagnosis. The clinical manifestations can vary and, at times, include multiorgan involvement. This case report describes 2 patients who presented with multiorgan failure, cerebral mycotic aneurysms, and valvular endocarditis secondary to Bartonella infection. The complex diagnosis, decision making, and surgical management are described.
巴尔通体心内膜炎的诊断可能较为困难。其临床表现多种多样,有时还会出现多器官受累。本病例报告描述了 2 例因巴尔通体感染引起多器官衰竭、脑真菌性动脉瘤和瓣膜心内膜炎的患者。文中介绍了复杂的诊断、决策和手术治疗。