van der Bel-Kahn J M, Watanakunakorn C, Menefee M G, Long H D, Dicter R
Am Heart J. 1978 May;95(5):627-36. doi: 10.1016/0002-8703(78)90305-8.
A case of infective endocarditis due to Chlamydia trachomatis immunotype F is reported. Multiple negative blood cultures were a major deterrant from the initial clinical diagnosis of infective endocarditis. Postmortem ultrastructural identification of Chlamydia in the aortic valve vegetation led to an intensive retrospective study of retrieved serum samples utilizing microimmunofluorescent tests. Likewise an unusual echocardiographic finding was discovered to be the ultrasonic visualization of an aortic ring abscess. No similar case could be found in the literature. Clinicopathologic correlations are presented.
报告了1例由沙眼衣原体免疫型F引起的感染性心内膜炎。多次血培养阴性是最初临床诊断感染性心内膜炎的主要障碍。死后在主动脉瓣赘生物中通过超微结构鉴定出衣原体，从而对利用微量免疫荧光试验获取的血清样本进行了深入的回顾性研究。同样，发现了一个不寻常的超声心动图表现，即主动脉环脓肿的超声显像。文献中未发现类似病例。现呈现临床病理相关性。
