Sato Toshihiro, Morioka Shinichiro, Nakamoto Takato, Nakamura Keiji, Irisawa Yusuke, Horai Tetsuya, Ohmagari Norio
Disease Control and Prevention Center National Center for Global Health and Medicine Tokyo Japan.
Department of Cardiovascular Surgery National Center for Global Health and Medicine Tokyo Japan.
J Gen Fam Med. 2020 May 14;21(4):148-151. doi: 10.1002/jgf2.316. eCollection 2020 Jul.
We report a case of a 64-year-old woman with a past medical history (PMH) of prosthetic valve replacement 7 months prior to admission, who presented with only right back pain. Physical examination revealed one conjunctival spot hemorrhage and a mild systolic murmur. Blood cultures were positive for methicillin-resistant . Trans-esophageal echocardiography revealed aortic valve vegetations; hence, a diagnosis of prosthetic valve endocarditis (PVE) was made. Clinical presentation of infective endocarditis varies and sometimes mimics that of polymyalgia rheumatica. The patient was diagnosed as PVE considering the whole clinical picture including the patient's PMH, physical examination, and blood cultures.
我们报告一例64岁女性病例，该患者在入院前7个月有人工瓣膜置换病史，入院时仅表现为右背部疼痛。体格检查发现一处结膜点状出血和轻度收缩期杂音。血培养结果显示耐甲氧西林菌阳性。经食管超声心动图显示主动脉瓣赘生物；因此，诊断为人工瓣膜心内膜炎（PVE）。感染性心内膜炎的临床表现各异，有时会模仿风湿性多肌痛的表现。综合考虑患者的既往病史、体格检查和血培养等整体临床表现，该患者被诊断为PVE。
