Ferrer Marín-Blázquez M, Buzón Rueda L, Bouza Santiago E, Sanz Hospital J, Artigao R, Abella V, Fernández-Espino R
Med Clin (Barc). 1980 Jul 15;75(3):122-5.
A case of pseudomonas endocarditis of biliary origin with impairment of the mitral and tricuspid heart valves is reported. Former history of the patient did not reveal narcotic addiction or previous open-heart surgery. Osteomyelitis is an uncommon complication of pseudomonas endocarditis. Echocardiography was a useful diagnostic method in the present case, showing the vegetation on the tricuspid valve. The poor prognosis of cases with left valvular heart disease which are resistant to medical treatment is emphasized. Differential count of the colonies did not localize the affected heart valve in this case.
报告了一例源于胆道的假单胞菌性心内膜炎病例,二尖瓣和三尖瓣均受累。患者既往史未显示有药物成瘾或曾接受心脏直视手术。骨髓炎是假单胞菌性心内膜炎的一种罕见并发症。超声心动图在本病例中是一种有用的诊断方法,显示了三尖瓣上的赘生物。强调了对药物治疗耐药的左心瓣膜病病例预后不良。在本病例中,菌落的鉴别计数未能确定受影响的心脏瓣膜。