[一名26岁男性患者患肺炎、双瓣膜心内膜炎及肺动脉栓塞]
[Pneumonia, endocarditis of two valves and pulmonary artery embolism in a 26-year-old male patient].
作者信息
Hasselbach Lisa, Dübbers Maximilian
机构信息
Universitätsklinik für Innere Medizin, Klinikum Oldenburg AöR, Rahel-Straus-Str. 10, 26133, Oldenburg, Deutschland.
出版信息
Internist (Berl). 2022 Apr;63(4):443-447. doi: 10.1007/s00108-021-01228-1. Epub 2021 Dec 22.
Abstract
A 26-year-old male patient presented with left-sided pneumonia, endocarditis of the tricuspid and pulmonary valves and a pulmonary artery embolism. In 2004 a Ross operation was performed because of congenital aortic valve stenosis. There was an elevation of the antibody titer for Coxiella burnetii, the pathogen of Q fever. Under antibiotic treatment with levofloxacin and doxycycline there was an improvement of the symptoms and a normalization of the inflammation parameters. The treatment of the endocarditis was successful.
摘要
一名26岁男性患者出现左侧肺炎、三尖瓣和肺动脉瓣心内膜炎以及肺动脉栓塞。2004年因先天性主动脉瓣狭窄接受了罗斯手术。伯氏考克斯体（Q热病原体）抗体滴度升高。在左氧氟沙星和多西环素抗生素治疗下，症状有所改善，炎症指标恢复正常。心内膜炎治疗成功。
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