人工二尖瓣真菌性感染性心内膜炎。
fungal infective endocarditis on prosthetic mitral valve.
机构信息
Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA
Department of Internal Medicine, Jacobi Medical Center/Albert Einstein College of Medicine, Bronx, New York, USA.
出版信息
BMJ Case Rep. 2023 Dec 12;16(12):e257224. doi: 10.1136/bcr-2023-257224.
Fungal infective endocarditis, although rare, carries a high mortality risk. We present a case of successful multidisciplinary management of infective endocarditis in an immunocompetent male with a bio-prosthetic mitral valve. This case highlights the clinical presentation and provides valuable treatment insights into this rare fungal entity. Prompt consideration of fungal pathogens in predisposed patients, expedited detection through non-culture-based tests, and a combined surgical and prolonged antifungal approach are pivotal.
真菌性感染性心内膜炎虽然罕见，但死亡率很高。我们报告了一例免疫功能正常的男性患者成功接受多学科管理感染性心内膜炎的病例，该患者患有生物假体二尖瓣。本病例突出了临床表现，并为这种罕见的真菌实体提供了有价值的治疗见解。在易患患者中及时考虑真菌病原体，通过非培养为基础的检测快速检测，并结合手术和延长抗真菌治疗至关重要。
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