多瓣膜破坏作为伴有主动脉瓣下膜的侵袭性感染性心内膜炎的主要表现。

Multivalvular destruction as the primary presentation of aggressive infective endocarditis with subaortic valve membrane.

作者信息

Alshoabi Sultan Abdulwadoud, Aljaber Nouradden Noman, Gameraddin Moawia Bushra, Omer Awatef Mohammed

机构信息

Sultan Abdulwadoud Alshoabi, Department of Diagnostic Radiology Technology, College of Applied Medical Sciences, Taibah University, Almadinah Almunawwarah, Kingdom of Saudi Arabia.

Nouradden Noman Aljaber, Department of Medicine, Faculty of Medicine, Sana'a University, Sana'a, Republic of Yemen.

出版信息

Pak J Med Sci. 2021 Mar-Apr;37(2):600-604. doi: 10.12669/pjms.37.2.2798.

DOI:10.12669/pjms.37.2.2798

PMID:33679959

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7931308/

Abstract

Multivalvular destruction may be a clinical manifestation of infective endocarditis (IE), which is a devastating infection of the heart either alone or superimposed with congenital subaortic membrane as in this case report. Here, we report a case of multivavular destruction with severe vegetation presented as a manifestation of infective endocarditis (IE) in a neglected case of 18-year-old male with previous rheumatic heart disease. Transesophageal echocardiography is an important imaging modality for diagnosis of superimposed aortic and heart lesions. Early necessary investigation and correct diagnosis is mandatory to prevent bad complications.

摘要

多瓣膜破坏可能是感染性心内膜炎（IE）的临床表现，感染性心内膜炎是一种严重的心脏感染，可单独发生，也可如本病例报告那样叠加在先天性主动脉下隔膜之上。在此，我们报告一例18岁既往有风湿性心脏病的男性被漏诊病例，其因感染性心内膜炎（IE）表现为多瓣膜破坏并伴有严重赘生物。经食管超声心动图是诊断叠加的主动脉和心脏病变的重要影像学检查方法。早期进行必要的检查并做出正确诊断对于预防不良并发症至关重要。