患者患有室间隔缺损和正畸器械，并发感染性心内膜炎。
infective endocarditis in a patient with ventricular septal defect and orthodontic appliances.
机构信息
Cardiology Department, NHS Shetland, Lerwick, UK
South Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
出版信息
BMJ Case Rep. 2022 Mar 2;15(3):e248349. doi: 10.1136/bcr-2021-248349.
Abstract
We describe a case of a girl in a remote and rural location in Scotland with a perimembranous ventricular septal defect and orthodontic appliances, who developed right-sided infective endocarditis from due to abrasion of the oral mucosa from the arch wire following its adjustment in the dental clinic.Fitting and adjustment of orthodontic appliances are not considered to be high-risk dental procedures and antibiotic prophylaxis is not recommended even for patients at highest risk for infective endocarditis.
摘要
我们描述了一例苏格兰偏远农村地区的女孩，她患有膜周室间隔缺损和正畸矫治器，在牙科诊所调整弓丝后，因口腔黏膜擦伤，导致右侧感染性心内膜炎。正畸矫治器的安装和调整不被认为是高风险的牙科操作，即使是感染性心内膜炎风险最高的患者，也不建议进行抗生素预防。
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