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巴尔通体心内膜炎:医疗实践中被漏诊的疾病

Bartonella Endocarditis: A Missed Diagnosis in Medical Practice.

作者信息

Zhang Yixin, Verdecia Jorge, Mgbemena Okechukwu, Ravi Malleswari, Sands Michael

机构信息

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Infectious Disease, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

出版信息

Cureus. 2021 Nov 6;13(11):e19309. doi: 10.7759/cureus.19309. eCollection 2021 Nov.

DOI:10.7759/cureus.19309
PMID:34900484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8647862/
Abstract

Here, we present the case of a 52-year-old patient who presented with fever, chills, and weight loss. Further workup revealed endocarditis of the aortic valve. After six weeks of antibiotics, a follow-up transthoracic echocardiogram showed a decrease in the size of vegetation. Serologic testing based on epidemiologic history should be obtained for the workup of blood culture-negative endocarditis.

摘要

在此,我们报告一例52岁患者,其表现为发热、寒战和体重减轻。进一步检查发现主动脉瓣心内膜炎。使用抗生素治疗六周后,经胸超声心动图随访显示赘生物大小减小。对于血培养阴性的心内膜炎检查,应根据流行病学史进行血清学检测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d504/8647862/d200495b87cb/cureus-0013-00000019309-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d504/8647862/f89eda8c3306/cureus-0013-00000019309-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d504/8647862/d200495b87cb/cureus-0013-00000019309-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d504/8647862/f89eda8c3306/cureus-0013-00000019309-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d504/8647862/d200495b87cb/cureus-0013-00000019309-i02.jpg

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本文引用的文献

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Clin Med (Lond). 2020 Jul;20(4):412-416. doi: 10.7861/clinmed.2019-0342.
2
The Brief Case: Bartonella henselae Endocarditis-a Case of Delayed Diagnosis.病例简报:汉赛巴尔通体性心内膜炎——一例延迟诊断病例
J Clin Microbiol. 2019 Aug 26;57(9). doi: 10.1128/JCM.00114-19. Print 2019 Sep.
3
Native Aortic Valve Endocarditis in a Patient With Prosthetic Mitral Valve: A Rare Presentation.二尖瓣人工瓣膜患者发生原生主动脉瓣心内膜炎:一种罕见的表现。
Cardiol Res. 2018 Oct;9(5):314-317. doi: 10.14740/cr741w. Epub 2018 Oct 7.
4
infective endocarditis with dissemination: A case report and literature review in Southeast Asia.感染性心内膜炎伴播散:东南亚地区的一例病例报告及文献综述
IDCases. 2018 Aug 16;13:e00441. doi: 10.1016/j.idcr.2018.e00441. eCollection 2018.
5
Bartonella Species, an Emerging Cause of Blood-Culture-Negative Endocarditis.巴尔通体属,血培养阴性心内膜炎的一种新出现病因。
Clin Microbiol Rev. 2017 Jul;30(3):709-746. doi: 10.1128/CMR.00013-17.
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Bartonella, a common cause of endocarditis: a report on 106 cases and review.巴尔通体,心内膜炎的常见病因:106例报告及综述
J Clin Microbiol. 2015 Mar;53(3):824-9. doi: 10.1128/JCM.02827-14. Epub 2014 Dec 24.
7
From cat scratch disease to endocarditis, the possible natural history of Bartonella henselae infection.从猫抓病到心内膜炎,汉赛巴尔通体感染可能的自然病程。
BMC Infect Dis. 2007 Apr 18;7:30. doi: 10.1186/1471-2334-7-30.