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非霍奇金淋巴瘤患者金黄色葡萄球菌菌血症继发感染性心内膜炎累及自身主动脉瓣的非典型表现

Atypical Presentation of Infective Endocarditis With Native Aortic Valve Involvement Secondary to Staphylococcus aureus Bacteremia in the Setting of Non-Hodgkin Lymphoma.

作者信息

Rafa Omar, Basile Eric J, Ali Arroj, Patel Prutha D, Palatnic Leonard

机构信息

Internal Medicine, University at Buffalo, Buffalo, USA.

Internal Medicine, University of Florida College of Medicine, Gainesville, USA.

出版信息

Cureus. 2022 Sep 10;14(9):e29012. doi: 10.7759/cureus.29012. eCollection 2022 Sep.

Abstract

Infective endocarditis (IE) is a condition that can involve endocardial tissue and possibly lead to valvular disease. Not only is it important to recognize the clinical presentation difference between acute and subacute IE, but physicians should understand that underlying risk factors, such as immunosuppression secondary to non-Hodgkin lymphoma (NHL), can alter an acute presentation into that of a subacute one. We report an NHL patient, who presented with subacute clinical symptoms of IE, but had a clinical test workup that showed evidence of acute IE rather than subacute.

摘要

感染性心内膜炎(IE)是一种可累及心内膜组织并可能导致瓣膜疾病的病症。不仅认识急性和亚急性IE之间的临床表现差异很重要,医生还应明白潜在的危险因素,如非霍奇金淋巴瘤(NHL)继发的免疫抑制,可将急性表现转变为亚急性表现。我们报告了一名NHL患者,其表现为IE的亚急性临床症状,但临床检查结果显示为急性IE而非亚急性IE。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/962c/9550186/14825d927fad/cureus-0014-00000029012-i01.jpg

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