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社区获得性金黄色葡萄球菌感染性心内膜炎的复杂临床病程

A Complicated Clinical Course of Community-Acquired Staphylococcus aureus Infective Endocarditis.

作者信息

Bellamy Shannay E, Ott William, Kolb Josh D, Malik Khurram

机构信息

Internal Medicine, Jersey City Medical Center, Jersey City, USA.

Infectious Diseases, Jersey City Medical Center, Jersey City, USA.

出版信息

Cureus. 2023 Mar 10;15(3):e35973. doi: 10.7759/cureus.35973. eCollection 2023 Mar.

DOI:10.7759/cureus.35973
PMID:37041901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10082973/
Abstract

Infective endocarditis (IE) is an infection of the heart's endocardial surface, heart valves, or implanted cardiac devices, with the most common causative organism being . The clinical presentation of IE can be variable, with some patients presenting with multisystemic complications, including renal, pulmonary, cutaneous, and neurologic complications. Cerebral infarction is the most common complication of IE. Here we present a case of a young male with IE of a native cardiac valve who developed multiple complications during his clinical course.

摘要

感染性心内膜炎（IE）是心脏内膜表面、心脏瓣膜或植入式心脏装置的感染，最常见的致病微生物是 。IE的临床表现可能多种多样，一些患者会出现多系统并发症，包括肾脏、肺部、皮肤和神经系统并发症。脑梗死是IE最常见的并发症。在此，我们报告一例年轻男性原发性心脏瓣膜IE患者，其在临床过程中出现了多种并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/706c35b0942d/cureus-0015-00000035973-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/ecf47c0e1922/cureus-0015-00000035973-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/2a2cfcea6039/cureus-0015-00000035973-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/fc0cdfd98220/cureus-0015-00000035973-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/3d8d047d610d/cureus-0015-00000035973-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/706c35b0942d/cureus-0015-00000035973-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/ecf47c0e1922/cureus-0015-00000035973-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/2a2cfcea6039/cureus-0015-00000035973-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/fc0cdfd98220/cureus-0015-00000035973-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/3d8d047d610d/cureus-0015-00000035973-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b8/10082973/706c35b0942d/cureus-0015-00000035973-i05.jpg

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本文引用的文献

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Clinical Features and Outcome of Infective Endocarditis in a University Hospital in Romania.罗马尼亚某大学医院感染性心内膜炎的临床特征与转归
Medicina (Kaunas). 2021 Feb 10;57(2):158. doi: 10.3390/medicina57020158.
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infective endocarditis: role of transoesophageal echocardiography.感染性心内膜炎：经食管超声心动图的作用
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Staphylococcus aureus endocarditis: distinct mechanisms of bacterial adhesion to damaged and inflamed heart valves.金黄色葡萄球菌心内膜炎：细菌黏附于受损和炎症心脏瓣膜的不同机制。
Eur Heart J. 2019 Oct 14;40(39):3248-3259. doi: 10.1093/eurheartj/ehz175.
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Surgical Management of Infective Endocarditis Complicated by Embolic Stroke: Practical Recommendations for Clinicians.感染性心内膜炎合并脑栓塞的外科治疗：临床医生的实用建议。
Circulation. 2016 Oct 25;134(17):1280-1292. doi: 10.1161/CIRCULATIONAHA.116.024156.
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Early surgery versus conventional treatment for infective endocarditis.早期手术与常规治疗感染性心内膜炎的比较。
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Impact of cerebrovascular complications on mortality and neurologic outcome during infective endocarditis: a prospective multicentre study.感染性心内膜炎期间脑血管并发症对死亡率和神经学转归的影响：一项前瞻性多中心研究
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