Gonzales Adrienne M, Puskoor Sujith, Jagota Devina, Pakanati Keerthana, Nguyen Hoang, Gonzalez Rafael, Tran MaryAnn P
Department of Internal Medicine, Baylor Scott and White Medical Center - Round Rock, Round Rock, Texas.
Department of Cardiology, Baylor Scott and White Medical Center - Round Rock, Round Rock, Texas.
Proc (Bayl Univ Med Cent). 2021 Apr 2;34(4):494-495. doi: 10.1080/08998280.2021.1901642.
This case describes an 83-year-old immunocompetent woman who presented to the emergency department with complaints of nausea, vomiting, and dizziness. She was found to have evidence of embolic stroke secondary to endocarditis. This case emphasizes the challenge of diagnosing fungal endocarditis, as it can be difficult to culture, and the importance of broad differentials even in patients with no obvious risk factors.
该病例描述了一位83岁免疫功能正常的女性，她因恶心、呕吐和头晕前往急诊科就诊。她被发现有因心内膜炎继发的栓塞性中风的证据。该病例强调了诊断真菌性心内膜炎的挑战，因为其难以培养，以及即使在没有明显危险因素的患者中进行广泛鉴别诊断的重要性。
