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[一名静脉吸毒者患白色念珠菌性心内膜炎伴周围动脉栓塞及脑真菌性动脉瘤]

[Endocarditis due to Candida albicans with peripheral arterial embolism and a cerebral mycotic aneurysm in an IV drug addict].

作者信息

Hernández Hernández J A, González-Moreno Portugal M, Casan Cava J M, Aloy Duch A, Llibre Codina J M, Capdevilla Morell J A

机构信息

Servei de Medicina Interna, Hospital Sant Jaume, Calella, Barcelona.

出版信息

Rev Clin Esp. 1993 Mar;192(5):223-5.

PMID:8484036
Abstract

Endocarditis due to Candida albicans (EC) is a rare cause of endocarditis in IV drug addicts (IVDA). Its diagnostic is usually difficult and high peripheral embolization is characteristic, and could affect big vessels. The case of a female patients (IVDA) 21 years old is discussed, who showed bilateral iliofemoral embolism and cerebral hemorrhage due to mycotic aneurysm breakage in a EC. These two complications appeared during an EC episode are exceptional. We insist in the importance of the echographic images in the suspicion diagnosis of EC.

摘要

白色念珠菌性心内膜炎(EC)是静脉注射吸毒者(IVDA)心内膜炎的罕见病因。其诊断通常困难,外周高栓塞形成是其特征,且可累及大血管。本文讨论了一名21岁女性IVDA患者的病例,该患者在EC病程中出现双侧髂股栓塞及因真菌性动脉瘤破裂导致的脑出血。这两种在EC病程中出现的并发症很罕见。我们强调超声图像在EC疑似诊断中的重要性。

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