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感染性心内膜炎的一种不寻常表现。

An Unusual Presentation of Infective Endocarditis.

作者信息

Peterson Ethan J, Jackson Jordan, Zaidi Syed M, Perez Jorge

机构信息

HCA Florida Brandon Hospital, Brandon, FL.

出版信息

HCA Healthc J Med. 2023 Aug 29;4(4):297-301. doi: 10.36518/2689-0216.1455. eCollection 2023.

Abstract

INTRODUCTION

Leukocytoclastic vasculitis is the inflammation of small blood vessels due to leukocyte migration that comprises a wide range of differentials. It can be caused by autoimmune disorders, infections, neoplasms, or certain medications and warrants prompt recognition and therapy for optimal patient outcomes.

CASE PRESENTATION

Here we present a case of a 37-year-old male who presented with a painful, petechial rash on his torso and extremities. Skin biopsy revealed leukocytoclastic vasculitis, thereby prompting a comprehensive investigation into the underlying etiology leading to the diagnosis of infective endocarditis.

CONCLUSION

is a rare cause of infective endocarditis with a high mortality and morbidity rate. This case highlights the importance of taking a thorough history and physical along with a complete workup of vasculitis as the underlying cause can be life-threatening.

摘要

引言

白细胞破碎性血管炎是由于白细胞迁移导致的小血管炎症,其鉴别诊断范围广泛。它可由自身免疫性疾病、感染、肿瘤或某些药物引起,为实现最佳患者预后,需要及时识别并进行治疗。

病例介绍

我们在此呈现一例37岁男性病例,该患者躯干和四肢出现疼痛性瘀点皮疹。皮肤活检显示白细胞破碎性血管炎,从而促使对潜在病因进行全面调查,最终诊断为感染性心内膜炎。

结论

感染性心内膜炎是白细胞破碎性血管炎的一种罕见病因,死亡率和发病率很高。该病例强调了详细询问病史、进行全面体格检查以及对血管炎进行全面检查的重要性,因为潜在病因可能危及生命。

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