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一例累及多个自身瓣膜的左侧感染性心内膜炎，并发瓣叶穿孔、多处脓毒性栓子、血栓栓塞事件及心律失常。

A Case of Left-Sided Infective Endocarditis of Multiple Native Valves Complicated by Valve Leaflet Perforation, Multiple Septic Emboli, Thromboembolic Events, and Cardiac Arrhythmias.

作者信息

Rizvi Taqi A, Sadiq Waleed, Khan Shahkar, Sattar Saud Bin Abdul, Acharya Sudeep, Chalhoub Michel

机构信息

Internal Medicine, Staten Island University Hospital, New York, USA.

Pulmonary and Critical Care Medicine, Staten Island University Hospital, New York, USA.

出版信息

Cureus. 2022 Nov 13;14(11):e31434. doi: 10.7759/cureus.31434. eCollection 2022 Nov.

DOI:10.7759/cureus.31434
PMID:36523716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9745637/
Abstract

Coagulase-negative staphylococci (CoNS) can uncommonly cause native valve endocarditis. We present a case of left-sided infective endocarditis of native valves presenting with splenic, lung, and brain infarcts along with aortic and significant mitral valve involvement with mitral valve perforation. The patient was also found to be in atrial flutter and atrial fibrillation. Left-sided endocarditis is reported to cause brain and spleen infarcts but pulmonary embolisms are usually a complication of right-sided endocarditis. Atrial fibrillation is also known to increase mortality in patients with infective endocarditis.

摘要

凝固酶阴性葡萄球菌（CoNS）可罕见地引起自体瓣膜心内膜炎。我们报告一例自体瓣膜左侧感染性心内膜炎病例，该病例伴有脾、肺和脑梗死，同时主动脉瓣和二尖瓣严重受累，二尖瓣穿孔。还发现该患者存在心房扑动和心房颤动。据报道，左侧心内膜炎可导致脑和脾梗死，但肺栓塞通常是右侧心内膜炎的并发症。心房颤动也已知会增加感染性心内膜炎患者的死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4af/9745637/d5e8024fb836/cureus-0014-00000031434-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4af/9745637/b9dc496d9e07/cureus-0014-00000031434-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4af/9745637/ef0516794898/cureus-0014-00000031434-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4af/9745637/a8fcc622bbef/cureus-0014-00000031434-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4af/9745637/d5e8024fb836/cureus-0014-00000031434-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4af/9745637/b9dc496d9e07/cureus-0014-00000031434-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4af/9745637/ef0516794898/cureus-0014-00000031434-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4af/9745637/a8fcc622bbef/cureus-0014-00000031434-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4af/9745637/d5e8024fb836/cureus-0014-00000031434-i04.jpg

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本文引用的文献

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