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感染性心内膜炎所致血管炎和脑出血:一例报告

Vasculitis and cerebral hemorrhage due to infectious endocarditis: A case report.

作者信息

Arias Velásquez César Augusto, Quiroz Álvarez Juan Esteban, Urrego Callejas Tomás

机构信息

Emergency Department, Hospital Pablo Tobón Uribe, Medellín, Colombia.

出版信息

SAGE Open Med Case Rep. 2024 Jan 29;12:2050313X241228410. doi: 10.1177/2050313X241228410. eCollection 2024.

Abstract

Infective endocarditis is an infection of the heart with systemic consequences, both infectious and non-infectious. Infective endocarditis can affect several systems, one of which is the central nervous system. The most common form of presentation is ischemic stroke; however, intracranial hemorrhage can occur due to immune-mediated damage to the vessel wall. The former further complicates cardiac surgical procedures when necessary. We present here the case of a 21-year-old male patient, with no personal medical history, who presented with intracranial hemorrhage due to a vasculitis phenomenon, caused by infective endocarditis. The patient underwent emergency drainage of the intracranial hemorrhage and minimally invasive valve surgery in 17 days, with satisfactory postoperative recovery and follow-up.

摘要

感染性心内膜炎是一种累及心脏并产生全身影响(包括感染性和非感染性影响)的疾病。感染性心内膜炎可影响多个系统,其中之一是中枢神经系统。最常见的表现形式是缺血性卒中;然而,由于血管壁的免疫介导损伤,也可能发生颅内出血。前者在必要时会使心脏外科手术进一步复杂化。我们在此介绍一名21岁男性患者的病例,该患者无个人病史,因感染性心内膜炎引起的血管炎现象而出现颅内出血。患者在17天内接受了颅内出血的紧急引流和微创瓣膜手术,术后恢复及随访情况良好。

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