Rahman Ali, Alqaisi Sura, Nath Jayant
Internal Medicine, Mather Hospital, Northwell Health, Port Jefferson, USA.
Internal Medicine, Memorial Healthcare, Pembroke Pines, USA.
Cureus. 2023 Jun 2;15(6):e39864. doi: 10.7759/cureus.39864. eCollection 2023 Jun.
We present a case of endocarditis in a 26-year-old female following orthodontic bracing. The rarity and debilitating consequences of endocarditis caused by are elaborated. The patient exhibited severe regurgitation with the eccentric posteriorly directed flow, leading to significant cardiac strain, further accentuated by systolic flow reversal in the right superior pulmonary vein. Surgical intervention, including mitral valve replacement, was crucial in addressing the underlying infection, restoring valve function, and preventing further complications. However, a second mitral valve replacement was performed due to recurrent bioprosthesis endocarditis. This case underscores the unique challenges of endocarditis, emphasizing the need for a multidisciplinary approach and individualized decision-making to optimize patient care.
我们报告一例26岁女性在正畸 braces 治疗后发生的心内膜炎病例。文中阐述了由正畸 braces 治疗引发的心内膜炎的罕见性及严重后果。患者表现出严重反流，伴有偏心的向后血流，导致明显的心脏劳损，右上肺静脉的收缩期血流逆转进一步加重了这种情况。手术干预，包括二尖瓣置换术，对于解决潜在感染、恢复瓣膜功能以及预防进一步并发症至关重要。然而，由于生物瓣膜心内膜炎复发，患者接受了第二次二尖瓣置换术。该病例凸显了正畸 braces 治疗后心内膜炎的独特挑战，强调了采取多学科方法和个体化决策以优化患者护理的必要性。
需注意，原文中“orthodontic bracing”表述不太准确，可能是“orthodontic braces”（正畸托槽），这里暂且按 braces 翻译为“正畸 braces 治疗”，你可根据实际情况调整。
