Gatzoulis M A, Winrow A, Kovar I Z
Department of Child Health, Charing Cross Hospital, London, UK.
Eur J Pediatr. 1993 Apr;152(4):323-4. doi: 10.1007/BF01956744.
Acute mitral valve endocarditis, presenting as a new murmur and haematuria, complicated pneumococcal meningitis in a 20-month-old child with a normal heart. Awareness of this rare complication of pneumococcaemia and its early diagnosis, using cross-sectional echocardiography, improves the clinical outcome of a condition associated with a high mortality.
一名心脏正常的20个月大儿童患急性二尖瓣心内膜炎,表现为新出现的杂音和血尿,并发肺炎球菌性脑膜炎。认识到肺炎球菌血症的这种罕见并发症及其通过横断面超声心动图进行早期诊断,可改善这种死亡率很高的疾病的临床结局。