Barvo Matthew M, Pletz Jacob, Johnson Gbemisola, Ayyaz Muhammad
Medicine, Trinity School of Medicine, Roswell, USA.
Internal Medicine, Coliseum Medical Centers, Macon, USA.
Cureus. 2021 Feb 16;13(2):e13375. doi: 10.7759/cureus.13375.
Infective endocarditis (IE) is one of the leading causes of life-threatening infections and is most often observed among patients who use intravenous (IV) drugs. We discuss the unique presentation of a 31-year-old gentleman with a two-week history of sore throat and shortness of breath, who returned to his community emergency room with persistent symptoms of streptococcal pharyngitis. A thorough history, physical examination, and diagnostic workup were conducted, where a large, protruding, highly mobile vegetation was observed on echocardiogram. His blood cultures grew methicillin-resistant . A vegetation measuring over 5 cm was surgically removed from his tricuspid valve. Following the operation, he underwent six weeks of extensive in-patient medical management with IV antibiotics to treat IE. This patient made a complete recovery and has since returned home.
感染性心内膜炎（IE）是危及生命的感染的主要原因之一，最常见于使用静脉注射（IV）药物的患者中。我们讨论一位31岁男性的独特病例，他有两周的咽痛和呼吸急促病史，因链球菌性咽炎的持续症状返回社区急诊室。进行了全面的病史询问、体格检查和诊断检查，超声心动图显示有一个大的、突出的、活动度高的赘生物。他的血培养结果显示耐甲氧西林……从他的三尖瓣手术切除了一个超过5厘米的赘生物。手术后，他接受了为期六周的广泛住院药物治疗，使用静脉抗生素治疗IE。该患者完全康复，现已回家。 （原文中“His blood cultures grew methicillin-resistant.”后面似乎内容不完整）
