Department of Cardiovascular Sciences, Guys and St Thomas NHS Trust, London, United Kingdom.
Department of Cardiovascular Sciences, Guys and St Thomas NHS Trust, London, United Kingdom.
J Am Coll Cardiol. 2022 Jan 4;79(1):88-99. doi: 10.1016/j.jacc.2021.10.015. Epub 2021 Nov 15.
A 19-year-old female patient presented with Staphylococcus aureus infective endocarditis, with suspected subdural brain hemorrhage, disseminated intravascular coagulopathy, and septic renal as well as spleen infarcts. The patient had extensive vegetations on the mitral and tricuspid valves and underwent urgent mitral and tricuspid repair. This paper discusses the clinical case and current evidence regarding the management and treatment of Staphylococcus aureus endocarditis.
一位 19 岁女性患者因金黄色葡萄球菌感染性心内膜炎就诊,伴有疑似硬膜下脑出血、弥散性血管内凝血、感染性肾及脾梗死。患者二尖瓣和三尖瓣有广泛的赘生物,并进行了紧急二尖瓣和三尖瓣修复。本文讨论了金黄色葡萄球菌心内膜炎的临床病例和当前管理及治疗证据。