Nagasawa Ayako, Nozawa Yuya, Katoh Yusuke, Yamaguchi Ryo, Miki Takao, Okonogi Shuichi, Yasuhara Kiyomitsu, Ohki Satoshi, Obayashi Tamiyuki
Department of Cardiovascular Surgery, Isesaki Municipal Hospital, Isesaki, Japan.
Kyobu Geka. 2023 Aug;76(8):613-617.
A 78-year-old Japanese male with previous gastric cancer and untreated diabetes mellitus was admitted to hospital for persistent fever and leg edema. Blood culture was positive for Streptococcus angino'sus, and echocardiography showed isolated tricuspid valve infective endocarditis. Infection was controlled with intravenous antibiotics, but surgery was indicated because of persistent severe regurgitation and large vegetation of 15 mm in size. As the tricuspid valve anterior leaflet was extensively damaged, he underwent valve replacement using a bioprosthetic valve. The patient was discharged 25 days postoperatively with additional antibiotics, and he has been free from recurrent endocarditis for 6 months.
一名78岁的日本男性，既往有胃癌病史且糖尿病未治疗，因持续发热和腿部水肿入院。血培养结果显示咽峡炎链球菌阳性，超声心动图显示孤立性三尖瓣感染性心内膜炎。感染通过静脉使用抗生素得到控制，但由于持续严重反流和大小为15毫米的大赘生物，仍需进行手术。由于三尖瓣前叶广泛受损，他接受了生物瓣膜置换术。患者术后25天出院，并继续使用抗生素，术后6个月未再发生心内膜炎。
