Binkiewicz-Orluk Maria, Konopka Marcin, Sierakowska-Sitkiewicz Katarzyna, Król Wojciech, Królicki Leszek, Kuch Marek, Braksator Wojciech
Department of Sports Cardiology and Noninvasive Cardiovascular Imaging, Medical University of Warsaw , Warsaw , Poland.
Department of Cardiology, Hypertension and Internal Diseases, Medical University of Warsaw , Poland , Mazovia Brodno Hospital, Warsaw , Poland.
J Ultrason. 2020;20(80):e61-e66. doi: 10.15557/JoU.2020.0010. Epub 2020 Mar 31.
Despite the fact that more and more guidelines that systematize our knowledge are being published, infective endocarditis remains a considerable diagnostic and therapeutic challenge. This is partially caused by the variable course of the disease process and numerous potential complications with high mortality. We present a case of a 48-year-old police officer with an inflammatory process within the aortic valve that led to the development of peripheral emboli in the central nervous system, kidney, spleen and within the lumbosacral spine. The complexity of the clinical situation required the cooperation of various medical specialists and combined use of various imaging methods, including ultrasound. This ultimately enabled the correct diagnosis to be established and had a significant impact on the planning and monitoring of the diagnostic process. Despite the fact that more and more guidelines that systematize our knowledge are being published, infective endocarditis remains a considerable diagnostic and therapeutic challenge. This is partially caused by the variable course of the disease process and numerous potential complications with high mortality. We present a case of a 48-year-old police officer with an inflammatory process within the aortic valve that led to the development of peripheral emboli in the central nervous system, kidney, spleen and within the lumbosacral spine. The complexity of the clinical situation required the cooperation of various medical specialists and combined use of various imaging methods, including ultrasound. This ultimately enabled the correct diagnosis to be established and had a significant impact on the planning and monitoring of the diagnostic process.
尽管越来越多将我们的知识系统化的指南不断发布，但感染性心内膜炎仍然是一个相当大的诊断和治疗挑战。这部分是由于疾病过程的多变性以及众多潜在并发症且死亡率高所致。我们报告一例48岁警官的病例，其主动脉瓣存在炎症过程，导致中枢神经系统、肾脏、脾脏以及腰骶椎出现外周栓子。临床情况的复杂性需要不同医学专家的合作以及包括超声在内的各种成像方法的联合使用。这最终使得能够确立正确的诊断，并对诊断过程的规划和监测产生了重大影响。尽管越来越多将我们的知识系统化的指南不断发布，但感染性心内膜炎仍然是一个相当大的诊断和治疗挑战。这部分是由于疾病过程的多变性以及众多潜在并发症且死亡率高所致。我们报告一例48岁警官的病例，其主动脉瓣存在炎症过程，导致中枢神经系统、肾脏、脾脏以及腰骶椎出现外周栓子。临床情况的复杂性需要不同医学专家的合作以及包括超声在内的各种成像方法的联合使用。这最终使得能够确立正确的诊断，并对诊断过程的规划和监测产生了重大影响。
