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缺铁性贫血作为一种由罕见病原体引起的亚急性细菌性心内膜炎的罕见表现。

Iron Deficiency Anemia as a Rare Presentation of Subacute Bacterial Endocarditis Caused by a Rare Organism.

作者信息

Abdulmajeed Mohamed, Thayaparan Kunaratnam, Ali Abdirashid

机构信息

General Internal Medicine, Luton and Dunstable University Hospital, Luton, GBR.

出版信息

Cureus. 2024 Nov 27;16(11):e74553. doi: 10.7759/cureus.74553. eCollection 2024 Nov.

DOI:10.7759/cureus.74553
PMID:39735127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11676614/
Abstract

Infective endocarditis commonly presents with fever, malaise, fatigue, and chest pain. However, this case report details an atypical presentation of infective endocarditis when a 63-year-old male patient was referred by his general practitioner to the emergency department with shortness of breath and substantial weight loss to investigate his symptomatic anemia. His initial assessments revealed severe iron deficiency anemia without any gastrointestinal or any other source of bleeding. Further investigations demonstrated that the patient suffered from infective endocarditis caused by a rare causative organism, . Hence, our case report highlights the atypical presentation and the rare organism in addition to the possibility of close association between iron deficiency anemia and subacute bacterial endocarditis. The patient was managed by culture-guided intravenous antibiotics and discharged after serial negative cultures.

摘要

感染性心内膜炎通常表现为发热、不适、疲劳和胸痛。然而,本病例报告详细描述了一例感染性心内膜炎的非典型表现,一名63岁男性患者被全科医生转诊至急诊科,因呼吸急促和体重显著减轻来调查其症状性贫血。他的初步评估显示为严重缺铁性贫血,无任何胃肠道或其他出血来源。进一步检查表明,该患者患有由一种罕见病原体引起的感染性心内膜炎。因此,我们的病例报告除了强调缺铁性贫血与亚急性细菌性心内膜炎之间可能存在密切关联外,还突出了非典型表现和罕见病原体。该患者接受了根据培养结果指导的静脉抗生素治疗,在连续培养结果为阴性后出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a1/11676614/c14abfa50df3/cureus-0016-00000074553-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a1/11676614/8b1f5097a40c/cureus-0016-00000074553-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a1/11676614/83a65f13dd55/cureus-0016-00000074553-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a1/11676614/098c773c661d/cureus-0016-00000074553-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a1/11676614/c14abfa50df3/cureus-0016-00000074553-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a1/11676614/8b1f5097a40c/cureus-0016-00000074553-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a1/11676614/83a65f13dd55/cureus-0016-00000074553-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a1/11676614/098c773c661d/cureus-0016-00000074553-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1a1/11676614/c14abfa50df3/cureus-0016-00000074553-i04.jpg

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本文引用的文献

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The Clinical View on Group - Opportunistic Pathogens Coming Out of Hiding.隐匿性群体机会致病菌的临床观点
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人型心杆菌致亚急性细菌性心内膜炎患者溶血性贫血
Intern Med. 2021 Nov 1;60(21):3489-3495. doi: 10.2169/internalmedicine.6186-20. Epub 2021 May 22.
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An Unusual Case of Streptococcus anginosus Endocarditis in a Healthy Host With Bicuspid Aortic Valve.一例健康宿主合并二叶式主动脉瓣的咽峡炎链球菌心内膜炎罕见病例。
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BMJ Case Rep. 2018 Apr 27;2018:bcr-2018-224266. doi: 10.1136/bcr-2018-224266.
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