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导致颅内真菌性动脉瘤和缺血性中风。

causing intracranial mycotic aneurysm and ischaemic stroke.

作者信息

Kisilevsky Eli, Pesin Nataly, Mandell Daniel, Margolin Edward A

机构信息

Ophthalmology and Vision Sciences, University of Toronto Faculty of Medicine, Toronto, Ontario, Canada.

Medical Imaging, University of Toronto, Toronto, Ontario, Canada.

出版信息

BMJ Case Rep. 2021 Mar 4;14(3):e240349. doi: 10.1136/bcr-2020-240349.

DOI:10.1136/bcr-2020-240349
PMID:33664036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7934739/
Abstract

We describe a case of subacute bacterial endocarditis and mycotic brain aneurysm caused by a due to untreated dental caries. is a rare cause of endocarditis that has a high incidence of aneurysmal and haemorrhagic complications. All patients with intracranial aneurysms who have signs of systemic infection should be considered to have mycotic aneurysms until proven otherwise. Dental habits should be included in regular medical assessment and dental care should be considered for patients presenting with infectious symptoms.

摘要

我们描述了一例因未治疗的龋齿导致的亚急性细菌性心内膜炎和霉菌性脑动脉瘤病例。龋齿是心内膜炎的罕见病因,其动脉瘤和出血并发症的发生率很高。所有有全身感染迹象的颅内动脉瘤患者,在未证实其他情况之前,均应考虑患有霉菌性动脉瘤。牙科习惯应纳入常规医疗评估,对于出现感染症状的患者应考虑进行牙科护理。

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本文引用的文献

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Intracranial complications of acute bacterial endocarditis.急性细菌性心内膜炎的颅内并发症。
Surg Neurol Int. 2018 May 25;9:107. doi: 10.4103/sni.sni_67_18. eCollection 2018.
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Periodontal diseases.牙周病。
Nat Rev Dis Primers. 2017 Jun 22;3:17038. doi: 10.1038/nrdp.2017.38.
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Risk and outcomes of aortic valve endocarditis among patients with bicuspid and tricuspid aortic valves.二叶式和三叶式主动脉瓣患者主动脉瓣心内膜炎的风险及预后
Open Heart. 2017 May 16;4(1):e000545. doi: 10.1136/openhrt-2016-000545. eCollection 2017.
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Socioeconomic inequality and caries: a systematic review and meta-analysis.社会经济不平等与龋齿:一项系统评价和荟萃分析。
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Rothia dentocariosa, endocarditis and mycotic aneurysms: case report and review of the literature.龋齿罗氏菌、心内膜炎与真菌性动脉瘤:病例报告及文献综述
Clin Microbiol Infect. 2003 Mar;9(3):222-9. doi: 10.1046/j.1469-0691.2003.00503.x.
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Three cases of Rothia dentocariosa bacteraemia: frequency in Denmark and a review.三例龋齿罗氏菌菌血症:丹麦的发病率及文献综述
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Source of elastin-degrading enzymes in mycotic aortic aneurysms: bacteria or host inflammatory response?真菌性主动脉瘤中弹性蛋白降解酶的来源:细菌还是宿主炎症反应?
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Bacterial intracranial aneurysms.细菌性颅内动脉瘤
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