皮勒弗莱比斯和右侧内心炎:腹腔内感染的罕见并发症
Lyndon Sprenghers1, Lode Van Overbeke2, Christophe Libeer3
1Internal Medicine, KU Leuven, Leuven, BEL.
Cureus
|May 31, 2024
概括
右侧内心炎,往往难以诊断,可以与心内器件联系起来. 这一案例突出了Streptococcus gallolyticus引起的三膜内心炎与pylephlebitis,尽管没有心脏起器导致感染.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
背景情况:
- 与左侧形式相比,右侧传染性内心炎具有独特的诊断挑战.
- 内心器械是右侧内心炎的重要危险因素.
- 门静脉的严重败血性血栓炎 (pylephlebitis) 往往使诊断复杂化,并源于腹腔内感染.
研究的目的:
- 报告一例Streptococcus gallolyticus介导的三膜内心炎与同时发生的皮勒弗莱比茨.
- 讨论右侧内心炎的诊断挑战,特别是在内心器件和非典型表现的患者中.
- 探索Streptococcus gallolyticus,传染性内心炎和潜在的胃肠道病理之间的联系.
主要方法:
- 一个76岁的男性病例报告,有直肠腺癌和心脏起器植入病史.
- 呈现出源不明的反复发烧 (FUO).
- 诊断工作包括血液培养和成像,以确定致病剂和受影响的结构.
主要成果:
- 通过Streptococcus gallolyticus介导的三膜内心炎的诊断.
- 同时诊断出皮勒弗莱比斯 (门静脉的败血栓).
- 在植入的心脏起器上缺乏内心炎.
结论:
- 球球菌是一种重要的病原体,应在感染性内心炎中考虑,特别是在患有胃肠道问题的患者中.
- 右侧内心炎,特别是与皮勒弗莱比斯相关的内心炎,需要高度的怀疑指数和彻底的调查.
- 在这种情况下,尽管有先前的植入和随后的感染,但没有心脏起器内心炎,这强调了各种各样的临床表现.
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