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一名患有巴洛氏病的患者感染性心内膜炎并发脓毒性栓塞：病例报告及文献综述

Infective Endocarditis Complicated by Septic Embolization in a Patient With Barlow's Disease: A Case Report and Literature Review.

作者信息

Chamma Aoumar G, Saliba Wendy E, Soueidy Maroun

机构信息

Cardiology, University of Balamand, Beirut, LBN.

Interventional Cardiology, Mount Lebanon Hospital, Beirut, LBN.

出版信息

Cureus. 2025 Jul 10;17(7):e87702. doi: 10.7759/cureus.87702. eCollection 2025 Jul.

DOI:10.7759/cureus.87702
PMID:40786367
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12335723/
Abstract

Infective endocarditis (IE) is a severe cardiac infection with significant morbidity and mortality. Prompt diagnosis and management, often guided by the Duke's criteria, are essential for optimal outcomes. We report a case of mitral valve IE caused by methicillin-sensitive Staphylococcus aureus (MSSA) complicated by ischemic stroke and recurrent mitral valve dysfunction in a previously healthy 35-year-old male with unrevealed Barlow's disease. This case highlights the crucial role of timely surgical intervention and multidisciplinary approach in care including cardiology, infectious diseases, and cardiothoracic surgery.

摘要

感染性心内膜炎（IE）是一种严重的心脏感染，具有较高的发病率和死亡率。在杜克标准的指导下进行及时诊断和管理对于实现最佳治疗效果至关重要。我们报告了一例由甲氧西林敏感金黄色葡萄球菌（MSSA）引起的二尖瓣IE病例，该病例发生在一名35岁、既往健康且未发现巴洛氏病的男性患者身上，并发缺血性中风和复发性二尖瓣功能障碍。该病例突出了及时手术干预和包括心脏病学、传染病学及心胸外科在内的多学科护理方法的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/5226a4b6646a/cureus-0017-00000087702-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/3cd0f387f540/cureus-0017-00000087702-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/f5dd8d284762/cureus-0017-00000087702-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/1c9cafdedaa4/cureus-0017-00000087702-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/10e2a95f2021/cureus-0017-00000087702-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/9280e928693d/cureus-0017-00000087702-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/28e64768b552/cureus-0017-00000087702-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/8f3901d2535c/cureus-0017-00000087702-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/96078c4e244c/cureus-0017-00000087702-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/a97f0212863b/cureus-0017-00000087702-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/ddcbf3be0369/cureus-0017-00000087702-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/d53e75347860/cureus-0017-00000087702-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/5226a4b6646a/cureus-0017-00000087702-i12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/3cd0f387f540/cureus-0017-00000087702-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/f5dd8d284762/cureus-0017-00000087702-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/1c9cafdedaa4/cureus-0017-00000087702-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/10e2a95f2021/cureus-0017-00000087702-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/9280e928693d/cureus-0017-00000087702-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/28e64768b552/cureus-0017-00000087702-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/8f3901d2535c/cureus-0017-00000087702-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/96078c4e244c/cureus-0017-00000087702-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/a97f0212863b/cureus-0017-00000087702-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/ddcbf3be0369/cureus-0017-00000087702-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/d53e75347860/cureus-0017-00000087702-i11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f61/12335723/5226a4b6646a/cureus-0017-00000087702-i12.jpg

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Risk of infective endocarditis in patients with mitral valve prolapse: Systematic review with meta-analysis.二尖瓣脱垂患者感染性心内膜炎的风险：系统评价与荟萃分析
Heliyon. 2024 Nov 4;10(21):e39893. doi: 10.1016/j.heliyon.2024.e39893. eCollection 2024 Nov 15.
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