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亚急性多瓣膜细菌性心内膜炎合并霉菌性动脉瘤破裂及性别对早期手术干预的影响

Subacute Multivalvular Bacterial Endocarditis Complicated by Ruptured Mycotic Aneurysm and the Impact of Gender on Early Surgical Intervention.

作者信息

Fragner Michael, Srivats Sudarshan S, Elsaygh Jude, Pink Kevin

机构信息

Internal Medicine, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, USA.

Internal Medicine, Catholic Medical Center, Manchester, USA.

出版信息

Cureus. 2024 May 6;16(5):e59771. doi: 10.7759/cureus.59771. eCollection 2024 May.

DOI:10.7759/cureus.59771
PMID:38846208
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11154016/
Abstract

Subacute bacterial endocarditis (SBE) evolves over weeks to months, often without typical features of acute endocarditis. Its presentation progresses gradually until possibly complicated by sentinel events, such as a cerebrovascular accident from embolization or a ruptured vessel. This is a case of SBE presenting as symptomatic anemia in a female patient with severe aortic regurgitation (AR) and mitral regurgitation (MR) due to bi-valvular vegetations in the absence of typical acute endocarditis and congestive heart failure (CHF) features.

摘要

亚急性细菌性心内膜炎（SBE）病程长达数周或数月，通常无急性心内膜炎的典型特征。其症状逐渐进展，直至可能因诸如栓塞导致的脑血管意外或血管破裂等标志性事件而出现并发症。这是一例SBE病例，该女性患者因双瓣膜赘生物导致严重主动脉瓣反流（AR）和二尖瓣反流（MR），表现为症状性贫血，且无典型急性心内膜炎和充血性心力衰竭（CHF）特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f20/11154016/7dead6fd8f7c/cureus-0016-00000059771-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f20/11154016/9d280dfdd464/cureus-0016-00000059771-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f20/11154016/e31ec7a78c97/cureus-0016-00000059771-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f20/11154016/7dead6fd8f7c/cureus-0016-00000059771-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f20/11154016/9d280dfdd464/cureus-0016-00000059771-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f20/11154016/e31ec7a78c97/cureus-0016-00000059771-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f20/11154016/7dead6fd8f7c/cureus-0016-00000059771-i03.jpg

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本文引用的文献

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Multivalvular Endocarditis: A Rare Condition with Poor Prognosis.多瓣膜心内膜炎：一种预后不良的罕见病症。
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2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.2020 ACC/AHA 瓣膜性心脏病患者管理指南：执行摘要：美国心脏病学会/美国心脏协会联合临床实践指南委员会的报告。
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Characteristics and Prognosis of Patients With Left-Sided Native Bivalvular Infective Endocarditis.
左侧天然双瓣生物瓣膜感染性心内膜炎患者的特征与预后
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Native-Valve Infective Endocarditis.自体瓣膜感染性心内膜炎
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Infective endocarditis: A contemporary update.感染性心内膜炎：当代最新进展。
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Comparison of Outcome of Possible Versus Definite Infective Endocarditis Involving Native Heart Valves.涉及天然心脏瓣膜的可能感染性心内膜炎与确诊感染性心内膜炎的结局比较。
Am J Cardiol. 2017 Jun 1;119(11):1854-1861. doi: 10.1016/j.amjcard.2017.02.039. Epub 2017 Mar 16.
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Neurologic complications in infective endocarditis: identification, management, and impact on cardiac surgery.感染性心内膜炎的神经系统并发症：识别、管理及其对心脏手术的影响。
Neurohospitalist. 2014 Oct;4(4):213-22. doi: 10.1177/1941874414537077.
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