原生三管 感染性内心炎 乳腺皮肤腹之后
Sumayya Sami1, Faisal Ali2, Kamran Pasha3
1Department of Internal Medicine, Aga Khan University Hospital, Karachi, PAK.
Cureus
|November 8, 2023
概括
三膜感染性内心炎是非输液药物使用者的罕见疾病,与一名年轻女性的乳腺有关. 即使没有典型的危险因素,早期诊断和抗生素至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
背景情况:
- 三膜感染性内心炎 (TVE) 在没有静脉注射药物使用史的人群中不常见.
- 风险因素通常包括先天性心脏病,中央静脉导管,心内器械和免疫功能低下的状态.
- 这一案例突出显示了一种罕见的TVE呈现,这是由于左乳而导致的,而没有典型的诱导因素.
研究的目的:
- 报告一种独特的原生三膜内心炎病例.
- 为了强调左乳和TVE之间的关联.
- 为了强调考虑TVE在非特异性症状和没有传统风险因素的患者中的重要性.
主要方法:
- 一个年轻的女性出现发烧,表和吐的病例报告.
- 临床检查显示左乳腺皮肤病变正在消失.
- 血液培养物鉴定出抗甲基西林的黄金葡萄球菌;CT扫描显示脊髓巨变;心声学证实了原生三管植被.
主要成果:
- 这位年轻的女性患者没有过静脉药物滥用,先天性心脏病,中央静脉导管,心脏器械或免疫功能低下的病史.
- 在血液培养物中发现了耐美西林的金黄色葡萄球菌. 在血液培养物中发现了耐美西林的金黄色葡萄球菌.
- 心声检查证实了三膜内心炎,并用静脉输入的万科米辛治疗.
结论:
- 左乳腺可能是原生三膜内心炎的不寻常来源.
- 在非典型的表现中诊断TVE需要高的怀疑指数.
- 及时的临床诊断和抗生素启动对于疑似TVE的良好结果至关重要.
相关概念视频
01:25Endocarditis I: Introduction
12
Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
12
01:18Endocarditis III: Medical Management
8
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
8
01:25Endocarditis II: Clinical Features of Infective Endocarditis
11
Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
11
01:29Endocarditis IV: Nursing Management
15
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
15
01:23Rheumatic Heart Disease I: Introduction
14
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
14
01:26Mitral Stenosis III: Medical Management
12
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
12