Alhamadh Moustafa S, Alanazi Rakan B, Alhowaish Thamer Saad, Alhabeeb Abdulrahman Yousef, Algarni Sultan T, Wadaan Osama Mohaamad, Suliman Ihab, Al-Ghamdi Mohammed Ghormalla
College of Medicine, King Saud bin Abdulaziz University for Health Sciences (KSAU-HS), Ministry of the National Guard-Health Affairs, Riyadh 14611, Saudi Arabia.
King Abdullah International Medical Research Center, Ministry of the National Guard-Health Affairs, Riyadh 11481, Saudi Arabia.
Diagnostics (Basel). 2022 Aug 16;12(8):1982. doi: 10.3390/diagnostics12081982.
Endocarditis is an extremely rare complication of with an incidence of 0.2-0.4%. It is a destructive and invasive infection that follows a highly complicated course and carries a high mortality rate that exceeds 45%. Multiple predisposing factors for endocarditis have been described in the literature, including human immunodeficiency virus infection, congenital heart diseases, and the presence of a prosthetic valve. Herein, we report a case of prosthetic valve endocarditis complicated by splenic infarction and aortic pseudoaneurysm presenting as a month-long history of fluctuating fever, chills, and rigors, accompanied by occasional cough and shortness of breath in a 55-year-old female with aortic and mitral valves replacement and multiple comorbidities. She was diagnosed by multiple radiographic studies and successfully treated with the Commando procedure and a long course of IV antibiotics.
心内膜炎是一种极其罕见的并发症，发病率为0.2 - 0.4%。它是一种具有破坏性和侵袭性的感染，病程高度复杂，死亡率超过45%。文献中描述了心内膜炎的多种易感因素，包括人类免疫缺陷病毒感染、先天性心脏病以及人工瓣膜的存在。在此，我们报告一例人工瓣膜心内膜炎合并脾梗死和主动脉假性动脉瘤的病例，患者为一名55岁女性，有主动脉瓣和二尖瓣置换史且伴有多种合并症，表现为长达一个月的发热、寒战和 rigor（此处原文有误，可能是rigors，意为寒战）波动病史，伴有偶尔咳嗽和气短。她通过多项影像学检查确诊，并通过“突击手术”（Commando procedure）和长期静脉使用抗生素成功治疗。
