Dick D C, McGregor C G, Mitchell K G, Sommerville R G, Wheatley D J
Br Heart J. 1977 Aug;39(8):914-6. doi: 10.1136/hrt.39.8.914.
A case of Chlamydia B (psittacosis) endocarditis is described in a patient with no known previous valve disease. After mitral valve replacement a fall in Chlamydia B antibody titre occurred. At repeat mitral valve replacement five months later for a paravalve leak no evidence of continuing endocarditis was present. Direct confirmation of infection in the patient's apparently healthy budgerigar was obtained. Aspects of the pathogenesis, diagnosis, and treatment are discussed.
本文描述了一例无已知既往瓣膜疾病患者的鹦鹉热衣原体B型心内膜炎。二尖瓣置换术后,鹦鹉热衣原体B型抗体滴度下降。五个月后因瓣周漏再次进行二尖瓣置换时,未发现持续存在心内膜炎的证据。对患者看似健康的虎皮鹦鹉的感染进行了直接确认。并对发病机制、诊断和治疗方面进行了讨论。