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狗咬伤后并发DF-2菌血症的急性心肌梗死

Acute myocardial infarction associated with DF-2 bacteremia after a dog bite.

作者信息

Newton N L, Sharma B

出版信息

Am J Med Sci. 1986 May;291(5):352-4. doi: 10.1097/00000441-198605000-00012.

Abstract

This is the first reported case of an acute myocardial infarction probably secondary to DF-2 bacterial septicemia and presumed endocarditis. Selective coronary arteriography revealed a long filling defect causing 95% stenosis of the second diagonal branch of the left anterior descending coronary artery. Multiple blood cultures revealed Decarboxylase Fermentor-2 (DF-2) septicemia that responded to penicillin therapy. Two months status after myocardial infarction recatheterization revealed complete recanalization with slight irregularity of the vessel lumen at the site of previous obstruction.

摘要

这是首例报告的可能继发于DF-2细菌性败血症及推测的心内膜炎的急性心肌梗死病例。选择性冠状动脉造影显示存在一个长的充盈缺损,导致左前降支冠状动脉第二对角支95%的狭窄。多次血培养显示为脱羧酶发酵菌-2(DF-2)败血症,对青霉素治疗有反应。心肌梗死后两个月再次进行导管插入术显示血管完全再通,但先前梗阻部位的血管腔有轻微不规则。

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