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以不明原因发热为表现的 native tricuspid valve endocarditis。

Native tricuspid valve endocarditis presenting as pyrexia of unknown origin.

机构信息

Department of Medicine, Lady Hardinge Medical College and Dr. Ram Manohar Lohia Hospital, Delhi, India.

出版信息

J Postgrad Med. 2023 Apr-Jun;69(2):105-107. doi: 10.4103/jpgm.jpgm_194_22.

DOI:10.4103/jpgm.jpgm_194_22
PMID:36453387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10259438/
Abstract

Native tricuspid valve endocarditis is quite rare without any predisposing factors and poses a diagnostic challenge because of fewer cardiac symptoms and lesser peripheral manifestations. This is a case report of a 25-year-old female who presented with high-grade fever, dry cough, decreased appetite, and weight loss for 1 month with no history of intravenous drug use or evidence of underlying cardiac abnormality and was diagnosed with native tricuspid valve endocarditis.

摘要

无任何诱发因素的原发性三尖瓣心内膜炎较为罕见，由于心脏症状较少和外周表现较少，诊断具有挑战性。这是一例 25 岁女性的病例报告，她因高热、干咳、食欲不振和体重减轻而就诊，病程 1 个月，无静脉吸毒史，也无潜在心脏异常的证据，最终诊断为原发性三尖瓣心内膜炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50e/10259438/a8fb54238f01/JPGM-69-105-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50e/10259438/7763a65c7059/JPGM-69-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50e/10259438/a47e4366410c/JPGM-69-105-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50e/10259438/4dd1904af8e0/JPGM-69-105-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50e/10259438/a8fb54238f01/JPGM-69-105-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50e/10259438/7763a65c7059/JPGM-69-105-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50e/10259438/a47e4366410c/JPGM-69-105-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50e/10259438/4dd1904af8e0/JPGM-69-105-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f50e/10259438/a8fb54238f01/JPGM-69-105-g004.jpg

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本文引用的文献

1
Tricuspid valve endocarditis.三尖瓣心内膜炎
Ann Cardiothorac Surg. 2017 May;6(3):255-261. doi: 10.21037/acs.2017.03.09.
2
Right-Sided Infective Endocarditis and Pulmonary Infiltrates: An Update.右侧感染性心内膜炎与肺部浸润：最新进展
Cardiol Rev. 2016 Sep-Oct;24(5):230-7. doi: 10.1097/CRD.0000000000000095.
3
Clinical profile of classical Fever of unknown origin (FUO).经典型不明原因发热（FUO）的临床特征。
Caspian J Intern Med. 2014 Winter;5(1):35-9.
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Right-sided infective endocarditis: recent epidemiologic changes.右侧感染性心内膜炎：近期的流行病学变化
Int J Clin Exp Med. 2014 Jan 15;7(1):199-218. eCollection 2014.
5
Native valve right sided infective endocarditis.原发性心脏右侧感染性心内膜炎。
Eur J Intern Med. 2013 Sep;24(6):510-9. doi: 10.1016/j.ejim.2013.01.010. Epub 2013 Jan 28.
6
From prolonged febrile illness to fever of unknown origin: the challenge continues.从长期发热性疾病到不明原因发热：挑战仍在继续。
Arch Intern Med. 2003 May 12;163(9):1033-41. doi: 10.1001/archinte.163.9.1033.
7
Isolated tricuspid valve endocarditis in nonaddicted patients: a diagnostic challenge.非成瘾患者孤立性三尖瓣心内膜炎：一项诊断挑战。
Am J Med Sci. 1997 Sep;314(3):207-12. doi: 10.1097/00000441-199709000-00011.