Lee Y H, Lai L P, Shyu K G, Kuan P, Lien W P
Department of Internal Medicine, National Taiwan University Hospital, Taipei, R.O.C.
Angiology. 1994 Mar;45(3):245-7. doi: 10.1177/000331979404500312.
A patient with Björk-Shiley mechanical mitral valve was noted to have Salmonella prosthetic valve endocarditis, which was confirmed by positive blood cultures and vegetation found by transesophageal echocardiography. Up to now, only 5 cases of Salmonella prosthetic valve endocarditis have been reported in the literature. Because of the malignant course of this rare infection, the authors suggest that early surgical intervention should be considered in Salmonella prosthetic valve endocarditis, especially when the patients have recurrent fever during medical treatment.
一名植入了Björk-Shiley机械二尖瓣的患者被诊断为沙门氏菌人工瓣膜心内膜炎,血培养阳性及经食管超声心动图发现赘生物证实了该诊断。截至目前,文献中仅报道了5例沙门氏菌人工瓣膜心内膜炎病例。鉴于这种罕见感染的恶性病程,作者建议对于沙门氏菌人工瓣膜心内膜炎应考虑早期手术干预,尤其是在患者接受药物治疗期间出现反复发热时。