三尖瓣感染性心内膜炎
tricuspid valve infective endocarditis.
作者信息
Banerjee Sanchari, Murali Sindhubarathi, Azhar Atika, Pathmanathan Anojan, Chaudhuri Debanik
机构信息
Department of Internal Medicine, State University of New York Upstate Medical University, Syracuse, New York.
Department of Cardiology, State University of New York Upstate Medical University, Syracuse, New York.
出版信息
Proc (Bayl Univ Med Cent). 2022 Apr 7;35(4):522-523. doi: 10.1080/08998280.2022.2054042. eCollection 2022.
is an alpha-hemolytic, gram-positive coccus that is responsible for 54/1,000,000 cases of all urinary tract infections. Risk factors include male gender, advanced age, and genitourinary tract abnormalities. It has often been misidentified as or due to its morphological similarities. Fewer than 50 cases of infective endocarditis have been reported, most affecting the mitral or aortic valve. We present the case of a 61-year-old woman who presented with recurrent fevers and worsening dyspnea on exertion and was found to have bacteremia. A transesophageal echocardiogram showed evidence of moderate tricuspid valve regurgitation and vegetations involving its posterior and septal leaflets. The patient was successfully treated with intravenous penicillin G for 6 weeks. She was not deemed a candidate for cardiac surgery.
是一种α溶血性革兰氏阳性球菌，在所有尿路感染病例中占54/1,000,000。危险因素包括男性、高龄和泌尿生殖道异常。由于其形态相似，它常被误诊为 或 。据报道，感染性心内膜炎病例少于50例，大多数影响二尖瓣或主动脉瓣。我们报告一例61岁女性病例，该患者出现反复发热和劳力性呼吸困难加重，被发现患有 菌血症。经食管超声心动图显示中度三尖瓣反流及累及其后叶和隔叶的赘生物。患者接受静脉注射青霉素G治疗6周后成功治愈。她不被认为是心脏手术的候选者。
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