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[细菌性心内膜炎的关节和肌肉表现。11例(作者译)]

[Articular and muscular manifestations of bacterial endocarditis. 11 cases (author's transl)].

作者信息

Rodriguez C, Ryckewaert A, Dryll A

出版信息

Nouv Presse Med. 1978 Dec;7(45):4111-4.

PMID:745939
Abstract

We report 11 cases of bacterial endocarditis with muscular and articular manifestations seen over the past ten years. There was arthralgia in 7 cases, vertebral pain in 7 cases and myalgia in 3 cases. Arthritis consisted of a monoarthritis of the ankle in 2 cases and oligoarthritis in 2 cases. There were also 2 cases of lumbar spondylodiscitis and 1 of finger clubbing in the series. The underlying heart disease was a valvular lesion of the left side of the heart in 10 cases out of 11 and the organism isolated by blood culture was a streptococcus in 9 cases and a staphylococcus in 11. We emphasis the need for early diagnosis and appropriate antibiotic therapy, in the absence of which the course may be fatal in the short term, as it was the case in one of our own patients.

摘要

我们报告了过去十年中见到的11例伴有肌肉和关节表现的细菌性心内膜炎病例。7例有关节痛,7例有脊椎疼痛,3例有肌痛。关节炎包括2例踝关节单关节炎和2例少关节炎。该系列中还有2例腰椎椎间盘炎和1例手指杵状指。11例中有10例潜在的心脏病是心脏左侧的瓣膜病变,血培养分离出的病原体9例为链球菌,11例为葡萄球菌。我们强调早期诊断和适当抗生素治疗的必要性,若无此治疗,病程可能在短期内致命,我们自己的一名患者就是如此。

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