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光滑念珠菌继发的咽鼓管瓣膜心内膜炎,合并衰弱和急性新型冠状病毒肺炎感染

Eustachian Valve Endocarditis Secondary to Candida glabrata Complicated by Frailty and Acute COVID-19 Infection.

作者信息

Davis Brittany L, Garry Ronald T

机构信息

Internal Medicine, NCH (Naples Comprehensive Health) Healthcare System, Naples, USA.

Geriatrics, NCH (Naples Comprehensive Health) Healthcare System, Naples, USA.

出版信息

Cureus. 2025 Jun 17;17(6):e86198. doi: 10.7759/cureus.86198. eCollection 2025 Jun.

DOI:10.7759/cureus.86198
PMID:40677480
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12269335/
Abstract

Transesophageal echocardiograms have revealed that the eustachian valve persists in a small proportion of the adult population. Only a few cases of eustachian valve endocarditis have previously been reported in older adults. This case report describes an 82-year-old male patient with eustachian valve endocarditis. He had a remote history of infrarenal abdominal aortic aneurysm post endovascular leak repair, recent septicemia from from an infected tooth, frailty, diabetes, and immunosenescence. He was found to have developed bacteremia and fungemia.

摘要

经食管超声心动图显示,在一小部分成年人群中,下腔静脉瓣持续存在。此前仅有少数老年患者发生下腔静脉瓣心内膜炎的病例报道。本病例报告描述了一名82岁患有下腔静脉瓣心内膜炎的男性患者。他有肾下腹主动脉瘤腔内漏修复的既往史、近期因一颗感染牙齿引发的败血症、身体虚弱、糖尿病和免疫衰老。他被发现已发生菌血症和真菌血症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2577/12269335/2212c4261771/cureus-0017-00000086198-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2577/12269335/c53a6b77300c/cureus-0017-00000086198-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2577/12269335/2212c4261771/cureus-0017-00000086198-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2577/12269335/c53a6b77300c/cureus-0017-00000086198-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2577/12269335/2212c4261771/cureus-0017-00000086198-i02.jpg

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本文引用的文献

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Candida endocarditis: Update on management considerations.念珠菌性心内膜炎:管理考量的最新进展
World J Cardiol. 2023 Oct 26;15(10):469-478. doi: 10.4330/wjc.v15.i10.469.
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A Case Series of Eustachian Valve Endocarditis: An Under-Diagnosed and Rare Entity.《咽鼓管瓣膜心内膜炎病例系列:一种被低估和罕见的实体》
Am J Case Rep. 2022 Jun 17;23:e936279. doi: 10.12659/AJCR.936279.
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Early Remdesivir to Prevent Progression to Severe Covid-19 in Outpatients.瑞德西韦早期治疗可降低门诊患者重症 COVID-19 进展风险
N Engl J Med. 2022 Jan 27;386(4):305-315. doi: 10.1056/NEJMoa2116846. Epub 2021 Dec 22.
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Frailty in patients undergoing transcatheter aortic valve replacement: from risk scores to frailty-based management.经导管主动脉瓣置换术患者的衰弱:从风险评分到基于衰弱的管理
J Geriatr Cardiol. 2021 Jun 28;18(6):479-486. doi: 10.11909/j.issn.1671-5411.2021.06.002.
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Eustachian valve endocarditis: Its presentation and clinical characteristics.咽鼓管瓣膜性心内膜炎:其表现及临床特征。
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Eustachian valve infective endocarditis.咽鼓管瓣感染性心内膜炎
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Case Rep Crit Care. 2018 Jan 31;2018:5193976. doi: 10.1155/2018/5193976. eCollection 2018.
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2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM).2015年欧洲心脏病学会(ESC)感染性心内膜炎管理指南:欧洲心脏病学会(ESC)感染性心内膜炎管理工作组。认可机构:欧洲心胸外科学会(EACTS)、欧洲核医学协会(EANM)。
Eur Heart J. 2015 Nov 21;36(44):3075-3128. doi: 10.1093/eurheartj/ehv319. Epub 2015 Aug 29.
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