孤立性肺动脉瓣心内膜炎。
Isolated pulmonary valve endocarditis.
作者信息
Valsky Sonja, Mutschlechner David, Wiedemann Dominik, Gremmel Thomas
机构信息
Department of Internal Medicine I, Cardiology and Intensive Care Medicine, Landesklinikum Mistelbach-Gänserndorf, Liechtensteinstraße 67, 2130, Mistelbach, Austria.
Karl Landsteiner Society, Institute of Cardiovascular Pharmacotherapy and Interventional Cardiology, St. Pölten, Austria.
出版信息
Wien Klin Wochenschr. 2024 Dec;136(23-24):700-702. doi: 10.1007/s00508-024-02416-3. Epub 2024 Aug 23.
Isolated pulmonary valve endocarditis (IPE) is a rare form of infectious endocarditis. This article reports the case of a 49-year-old patient with IPE who was initially admitted with suspected cholecystitis. After vegetations were detected by transthoracic (TTE) and transesophageal echocardiography (TEE), antibiotic therapy in accordance with the antibiogram was primarily attempted; however, due to persistently elevated infection parameters and structural valve damage a pulmonary valve replacement was eventually performed.
孤立性肺动脉瓣心内膜炎（IPE）是感染性心内膜炎的一种罕见形式。本文报告了一例49岁的IPE患者，该患者最初因疑似胆囊炎入院。经胸超声心动图（TTE）和经食管超声心动图（TEE）检测到赘生物后，首先尝试根据药敏结果进行抗生素治疗；然而，由于感染指标持续升高和瓣膜结构受损，最终进行了肺动脉瓣置换术。
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