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感染性心内膜炎:成人免疫球蛋白A血管炎的罕见诱因

Infective Endocarditis: A Rare Trigger of Immunoglobulin A Vasculitis in an Adult.

作者信息

Gadela Naga Vaishnavi, Drekolias Dimitrios, Rizkallah Alain, Jacob Jason

机构信息

Internal Medicine, University of Connecticut, Farmington, USA.

Cardiology, Hartford Hospital, Hartford, USA.

出版信息

Cureus. 2020 Aug 20;12(8):e9892. doi: 10.7759/cureus.9892.

Abstract

Immunoglobulin A vasculitis (IgA vasculitis) is a small-vessel vasculitis usually triggered by bacterial or viral infections, antibiotics, and vaccinations. Although it is a disease of the pediatric population, it can occur in adults as well. We present a case of IgA vasculitis that was triggered by underlying infective endocarditis (IE). IE is a rare and fatal cause of the vasculitis that requires timely diagnosis and management to prevent catastrophic outcomes. Our patient was treated with antibiotics for IE, which led to the resolution of vasculitis.

摘要

免疫球蛋白A血管炎(IgA血管炎)是一种小血管血管炎,通常由细菌或病毒感染、抗生素及疫苗接种引发。尽管它是一种儿童疾病,但也可发生于成人。我们报告一例由潜在感染性心内膜炎(IE)引发的IgA血管炎病例。IE是血管炎的一种罕见且致命病因,需要及时诊断和处理以防止灾难性后果。我们的患者接受了针对IE的抗生素治疗,这使得血管炎得以缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5de4/7502423/050025918bec/cureus-0012-00000009892-i01.jpg

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