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一名慢性透析患者的原发性二尖瓣感染性心内膜炎病例:警惕的重要性。

A Case of Native Mitral Valve Infective Endocarditis in a Chronic Dialysis Patient: The Importance of Vigilance.

作者信息

Myint Nyan

机构信息

Internal Medicine, Meharry Medical College, Nashville, USA.

出版信息

Cureus. 2024 Sep 22;16(9):e69924. doi: 10.7759/cureus.69924. eCollection 2024 Sep.

Abstract

This case involves native mitral valve infective endocarditis in a chronic hemodialysis patient resulting from a catheter-related bloodstream infection (CRBSI). Infective endocarditis in dialysis patients is more common and is associated with higher mortality rates compared to non-dialysis patients. It is also a serious complication of tunneled dialysis catheter infections. The presentation and diagnosis of infective endocarditis in chronic dialysis patients can be challenging and may often be overlooked. This case highlights the importance of maintaining a strong clinical suspicion for infective endocarditis when such patients deteriorate from their baseline status or deviate from the expected response to appropriate treatment.

摘要

该病例涉及一名慢性血液透析患者因导管相关血流感染(CRBSI)导致的自体二尖瓣感染性心内膜炎。与非透析患者相比,透析患者的感染性心内膜炎更为常见,且死亡率更高。它也是隧道式透析导管感染的严重并发症。慢性透析患者感染性心内膜炎的临床表现和诊断具有挑战性,且常易被忽视。该病例强调了在此类患者病情从基线状态恶化或偏离对适当治疗的预期反应时,对感染性心内膜炎保持高度临床怀疑的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bae/11495512/06e0a2aa46a6/cureus-0016-00000069924-i01.jpg

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