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感染性心内膜炎累及二尖瓣和主动脉瓣并伴有房间隔脓肿。

Infective Endocarditis Involving Mitral and Aortic Valves With Interatrial Septal Abscess.

作者信息

Kim Jean, Ha James, Park Christina, Chung Eric Y

机构信息

Internal Medicine, University of Hawaii, Honolulu, USA.

Cardiothoracic Surgery, The Queen's Medical Center, Honolulu, USA.

出版信息

Cureus. 2021 Jun 17;13(6):e15730. doi: 10.7759/cureus.15730. eCollection 2021 Jun.

DOI:10.7759/cureus.15730
PMID:34290923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8289397/
Abstract

Infectious endocarditis (IE) is an infection of the endocardial surface and frequently refers to the infection of one or more heart valves. The clinical manifestations of IE are highly variable, with fever being the most common symptom, along with other nonspecific symptoms such as chills, anorexia, malaise, and myalgias. IE is associated with various systemic complications including septic emboli, cardiac complications such as valvular vegetations and intracardiac abscess, neurologic complications, and systemic immune reactions. In this case report, we present a patient with an IE that involved both mitral and aortic valves as well as a unique pathology with an interatrial septal abscess.

摘要

感染性心内膜炎(IE)是心内膜表面的感染,通常指一个或多个心脏瓣膜的感染。IE的临床表现高度多变,发热是最常见的症状,还伴有其他非特异性症状,如寒战、厌食、不适和肌痛。IE与各种全身并发症相关,包括脓毒性栓子、心脏并发症,如瓣膜赘生物和心内脓肿、神经并发症以及全身免疫反应。在本病例报告中,我们介绍了一名患有累及二尖瓣和主动脉瓣的IE患者,以及伴有房间隔脓肿的独特病理情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/50bf2ade7d1f/cureus-0013-00000015730-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/f3b7b9c79a3c/cureus-0013-00000015730-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/41f16b7fc31a/cureus-0013-00000015730-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/f1c90be259f3/cureus-0013-00000015730-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/4ea4402bad16/cureus-0013-00000015730-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/50bf2ade7d1f/cureus-0013-00000015730-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/f3b7b9c79a3c/cureus-0013-00000015730-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/41f16b7fc31a/cureus-0013-00000015730-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/f1c90be259f3/cureus-0013-00000015730-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/4ea4402bad16/cureus-0013-00000015730-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee3e/8289397/50bf2ade7d1f/cureus-0013-00000015730-i05.jpg

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本文引用的文献

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成人感染性心内膜炎:诊断、抗菌治疗和并发症处理:美国心脏协会医疗保健专业人员科学声明。
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What size of vegetation is an indication for surgery in endocarditis?感染性心内膜炎中多大尺寸的赘生物提示需要手术治疗?
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Clinical presentation, etiology, and outcome of infective endocarditis in the 21st century: the International Collaboration on Endocarditis-Prospective Cohort Study.21世纪感染性心内膜炎的临床表现、病因及转归:国际心内膜炎协作组前瞻性队列研究
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