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[肺内动脉霉菌性动脉瘤:右侧心内膜炎的不寻常表现]

[Mycotic aneurysms of the intrapulmonary arteries: unusual manifestation of right-sided endocarditis].

作者信息

Godin N, Pinget L, Waldvogel F

出版信息

Rev Fr Mal Respir. 1983;11(6):907-13.

PMID:6689449
Abstract

We report the case of a 27 year old man admitted to hospital for investigation of radiological opacities of recent origin. A diagnosis of mycotic aneurysms was made on a surgical biopsy. Although a right sided endocarditis could not be detected clinically, a trial of antibiotic therapy was instituted. However, no improvement occurred. The patient died, following a massive pulmonary haemorrhage. The necropsy revealed an active right sided endocarditis with multiple aneurysms of the intra-pulmonary arteries.

摘要

我们报告了一名27岁男性因近期出现的放射学不透明影而入院接受检查的病例。经手术活检诊断为霉菌性动脉瘤。尽管临床上未检测到右侧心内膜炎,但仍进行了抗生素治疗试验。然而,病情并无改善。患者在发生大量肺出血后死亡。尸检显示为活动性右侧心内膜炎,伴有肺内动脉多发动脉瘤。

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