Hernández Hernández J A, González-Moreno Portugal M, Casan Cava J M, Aloy Duch A, Llibre Codina J M, Capdevilla Morell J A
Servei de Medicina Interna, Hospital Sant Jaume, Calella, Barcelona.
Rev Clin Esp. 1993 Mar;192(5):223-5.
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.
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。