Wong A, Rosenstein A H, Rutherford R E, James S P
Division of Gastroenterology, University of Maryland Medical Center, Baltimore 21201-1595, U.S.A.
J Clin Gastroenterol. 1997 Mar;24(2):90-1. doi: 10.1097/00004836-199703000-00009.
We report the case of a patient in whom bacterial endocarditis developed on a native valve after variceal sclerotherapy. We are concerned about the discrepant recommendations for antibiotic prophylaxis in the literature and consider that our report, which we take to be the first, suggests reasons for prophylactic antibiotic treatment in selected patients undergoing sclerotherapy.
我们报告了一例患者,该患者在进行曲张静脉硬化治疗后,其自身瓣膜上发生了细菌性心内膜炎。我们对文献中关于抗生素预防的不一致建议感到担忧,并认为我们的报告(我们认为这是首例报告)为接受硬化治疗的特定患者进行预防性抗生素治疗提供了理由。