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血培养阴性的孤立性肺动脉瓣心内膜炎致脓胸1例罕见病例

A Rare Case of Blood Culture-Negative Isolated Pulmonic Valve Endocarditis Causing Empyema.

作者信息

Casey Bradley, Hua Destinee A, Jyothidasan Amudhan, Bhandari Manoj

机构信息

Internal Medicine, Cape Fear Valley Medical Center, Fayetteville, USA.

Cardiology, Cape Fear Valley Medical Center, Fayetteville, USA.

出版信息

Cureus. 2022 Sep 13;14(9):e29137. doi: 10.7759/cureus.29137. eCollection 2022 Sep.

Abstract

Right-sided native valve infective endocarditis (IE) refers to IE involving the tricuspid or pulmonic valve. The most common factors causing right-sided IE include intravenous drug use, intracardiac device, and central venous catheters. Isolated pulmonic valve IE has only been reported in less than 2% of all IE cases. We present a unique case of a patient with a history of poor oral hygiene found to have isolated blood culture-negative pulmonic valve IE, who subsequently developed empyema positive for .

摘要

右侧自体瓣膜感染性心内膜炎(IE)是指累及三尖瓣或肺动脉瓣的IE。导致右侧IE的最常见因素包括静脉药物使用、心内装置和中心静脉导管。孤立性肺动脉瓣IE在所有IE病例中报告的比例不到2%。我们报告了一例独特病例,该患者有口腔卫生不良史,被发现患有孤立性血培养阴性的肺动脉瓣IE,随后并发了阳性的脓胸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3fdc/9572993/03a373175f27/cureus-0014-00000029137-i01.jpg

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