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主动脉瓣置换术后亚急性心包脓肿:1 例报告。

Subacute pericardial abscess after aortic valve replacement: a case report.

机构信息

Department of Experimental, Diagnostic and Specialty Medicine-DIMES (Padiglione 23), University of Bologna, Via Giuseppe Massarenti 9, 40138, Bologna, Italy.

Cardiac Surgery Unit, Cardio-Thoracic-Vascular Department, S. Orsola Hospital, Alma Mater Studiorum - University of Bologna, Bologna, Italy.

出版信息

BMC Infect Dis. 2020 May 13;20(1):342. doi: 10.1186/s12879-020-05063-x.

Abstract

BACKGROUND

Purulent pericarditis is an infectious disease, frequently caused by gram-positive bacteria, that is rarely observed in healthy individuals, and is often associated with predisposing conditions.

CASE PRESENTATION

Here, we present the case of an Escherichia coli post-surgical localized purulent pericarditis complicated by transient constrictive pericarditis and its diagnostic and therapeutic management.

CONCLUSIONS

Our case report focuses on the importance of imaging-guided treatment of purulent pericardial diseases, in particular on the emerging role of 18 F-labelled 2-fluoro-2-deoxy-D-glucose Positron Emission Tomography/Computed Tomography in pericardial diseases and on the management of transient constrictive pericarditis, often seen after thoracic surgery.

摘要

背景

化脓性心包炎是一种传染病,常由革兰氏阳性菌引起,在健康个体中很少见,常与易患因素有关。

病例介绍

本文报告了一例大肠杆菌术后局限性化脓性心包炎并发短暂缩窄性心包炎的病例,并对其诊断和治疗管理进行了讨论。

结论

本病例报告重点介绍了化脓性心包疾病的影像学引导治疗的重要性,特别是 18F-标记的 2-氟-2-脱氧-D-葡萄糖正电子发射断层扫描/计算机断层扫描在心包疾病中的新作用,以及常发生于开胸手术后的短暂性缩窄性心包炎的处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/533e/7218556/18b23934dcf3/12879_2020_5063_Fig1_HTML.jpg

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