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一例需要使用AngioVac减容术治疗的右侧感染性心内膜炎病例。

A Case of Right-Sided Infective Endocarditis Requiring AngioVac Debulking.

作者信息

Pawlichuk Danielle, Pippin Micah

机构信息

Family Medicine, Louisiana State University Health Shreveport (LSUHS), Alexandria, USA.

出版信息

Cureus. 2024 Jan 30;16(1):e53251. doi: 10.7759/cureus.53251. eCollection 2024 Jan.

Abstract

Infective endocarditis is an uncommon but consequential disease process that occurs after damage to the cardiac endothelium. Management depends on location and infection severity, but it can typically be treated with intravenous antibiotics. Still, in more complex presentations, surgical intervention may be warranted. Here, we examine a case of right-sided infective endocarditis affecting the tricuspid valve in a patient with a history of intravenous drug use. The purpose of this paper is to examine a case of right-sided endocarditis refractory to intravenous antibiotics, resulting in the need for an alternative treatment modality using AngioVAC debulking.

摘要

感染性心内膜炎是一种罕见但后果严重的疾病过程,发生在心脏内皮受损之后。治疗方法取决于感染部位和严重程度,但通常可通过静脉注射抗生素进行治疗。不过,在更复杂的病例中,可能需要进行手术干预。在此,我们研究一例有静脉药物使用史的患者发生的累及三尖瓣的右侧感染性心内膜炎病例。本文的目的是研究一例对静脉注射抗生素治疗无效的右侧心内膜炎病例,从而需要采用AngioVAC减容术这种替代治疗方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d61/10904309/2c06e88c92bc/cureus-0016-00000053251-i01.jpg

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