Internal Medicine Department, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
Internal Medicine Department, Mayo Clinic Hospital, Phoenix, Arizona, USA.
BMJ Case Rep. 2024 Jun 18;17(6):e260853. doi: 10.1136/bcr-2024-260853.
Infective endocarditis (IE) poses a diagnostic challenge due to its diverse clinical presentations, especially among high-risk groups. Diagnosis relies on integrating clinical presentation, blood cultures and imaging findings. Advanced imaging techniques enhance diagnostic accuracy, particularly in complex cases. Treatment involves antimicrobial therapy and surgery in complicated cases, with early intervention crucial for optimal outcomes. Coordinated care by an Endocarditis Team ensures tailored treatment plans, prompt complication management and long-term monitoring after discharge. The authors present a case of subacute IE presenting initially with back pain in a patient with a complex medical history, highlighting diagnostic and management approaches.
感染性心内膜炎（IE）由于其临床表现多样，尤其是在高危人群中，诊断具有挑战性。诊断依赖于整合临床表现、血培养和影像学发现。先进的影像学技术提高了诊断的准确性，尤其是在复杂的情况下。在复杂的情况下，治疗包括抗菌治疗和手术，早期干预对获得最佳结果至关重要。心内膜炎团队的协调护理确保了量身定制的治疗计划、及时的并发症管理和出院后的长期监测。作者介绍了一例亚急性 IE 的病例，该病例最初表现为背痛，患者有复杂的病史，重点介绍了诊断和治疗方法。
