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表象之下:以眼内炎为表现的感染性心内膜炎

More Than Meets the Eye: Infective Endocarditis Presenting as Endogenous Endophthalmitis.

作者信息

Villasmil Ricardo J, Lattanzio Natalia, Burns Katherine, Alkayali Talal

机构信息

Internal Medicine, Florida State University College of Medicine Internal Medicine Residency Program, Sarasota, USA.

出版信息

Cureus. 2021 Apr 28;13(4):e14745. doi: 10.7759/cureus.14745.

Abstract

Endogenous endophthalmitis (EE) is a potentially blinding ophthalmological emergency with poor visual prognosis requiring a high index of clinical suspicion to obtain a prompt diagnosis. The main factors associated with poor visual outcomes include the virulence of the causative organism and timing of intervention. Infective endocarditis can present with nonspecific ocular complaints and remains an important risk factor for developing EE. We report an unusual case of EE in a 78-year-old male caused by infective endocarditis secondary to resulting in bioprosthetic aortic valve abscess with dehiscence.

摘要

内源性眼内炎(EE)是一种潜在致盲的眼科急症,视力预后较差,需要高度的临床怀疑指数才能获得及时诊断。与视力不良结果相关的主要因素包括致病微生物的毒力和干预时机。感染性心内膜炎可表现为非特异性眼部症状,仍然是发生EE的重要危险因素。我们报告一例78岁男性因继发于……导致生物人工主动脉瓣脓肿伴裂开的感染性心内膜炎引起的罕见EE病例。 (注:原文中“secondary to”后面内容缺失)

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