沙门氏菌引起的主动脉瓣心内膜炎。

Aortic valve endocarditis caused by Salmonella species.

作者信息

Pliakos C, Nouskas I, Dobros N, Sofos A, Zebekakis P, Lazaridis A, Tourkantonis A

机构信息

First Department of Internal Medicine, Aristotle University of Thessaloniki, American-Hellenic Educational Progressive Association Hospital, Greece.

出版信息

J Clin Ultrasound. 1999 Jan;27(1):45-8. doi: 10.1002/(sici)1097-0096(199901)27:1<45::aid-jcu8>3.0.co;2-d.

DOI:10.1002/(sici)1097-0096(199901)27:1<45::aid-jcu8>3.0.co;2-d

PMID:9888099

Abstract

We report a case of aortic valve endocarditis caused by an uncommon pathogen, Salmonella species. Transthoracic echocardiography proved to be inadequate to show the valvular destruction. Transesophageal echocardiography was instrumental in establishing the diagnosis of endocarditis by documenting aortic vegetations with attendant tissue damage extending beyond the valve leaflets (i.e., subvalvular and perivalvular damage). The findings were anatomically confirmed at surgery, which also revealed an aortic root-right ventricular fistula and several aortic ring abscesses. Early implementation of transesophageal echocardiography is strongly recommended in patients with suspected endocarditis.

摘要

我们报告一例由罕见病原体沙门氏菌引起的主动脉瓣心内膜炎病例。经胸超声心动图显示不足以显示瓣膜破坏情况。经食管超声心动图通过记录主动脉赘生物及伴随的组织损伤超出瓣膜小叶范围（即瓣下和瓣周损伤），对心内膜炎的诊断起到了关键作用。手术在解剖学上证实了这些发现，手术还发现了主动脉根部 - 右心室瘘和几个主动脉环脓肿。对于疑似心内膜炎的患者，强烈建议尽早实施经食管超声心动图检查。