Atherosclerosis Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
BMC Infect Dis. 2020 Mar 12;20(1):212. doi: 10.1186/s12879-020-4925-z.
Pulmonary endarteritis is a rare clinical phenomenon with congenital heart that can potentially lead to major complications.
We report a 47-year-old man with pulmonary endarteritis. This patient presented with hypertension, chest pain and a previous history of pulmonary valve disease during childhood. Also, eight-months prior, he was hospitalized with dyspnea (Functional Class III), cough, phlegm, and night sweats without fever. Echocardiographic diagnosis in the first transtransthoracic echocardiography (TTE) was intense pulmonary valve stenosis (PVS) an, thus, the pulmonary valve vegetation and PVS, established by transesophageal echocardiography (TEE). He was referred for surgery after 1 weeks of intravenous antibiotic therapy for removal of the vegetation.
Finally he was asymptomatic at 3-months of follow-up and was clinically in good condition. Therefore, the detection of infective endocarditis of the lung valve must not lengthy be prolonged.
肺血管炎是一种罕见的临床现象，与先天性心脏病有关，可能导致严重并发症。
我们报告了一例肺血管炎患者。该患者有高血压病史，胸痛，儿童时期有肺动脉瓣疾病史。此外，8 个月前，他因呼吸困难（功能分级 III 级）、咳嗽、咳痰和夜间盗汗但无发热而住院。第一次经胸超声心动图（TTE）的超声心动图诊断为严重的肺动脉瓣狭窄（PVS），因此，通过经食管超声心动图（TEE）确定了肺动脉瓣赘生物和 PVS。静脉注射抗生素治疗 1 周后，他因赘生物切除术被转诊至外科。
最后，他在 3 个月的随访中无症状，临床状况良好。因此，对肺瓣膜感染性心内膜炎的检测不能再拖延。
