腹和感染性内心炎
Monique Boukobza1, Lionel Rebibo2,3, Emila Ilic-Habensus4
1Department of Radiology, Bichat-Claude Bernard University Hospital, Assistance Publique-Hôpitaux de Paris, 46 Rue Henri Huchard, 75018, Paris, France. m.boukobza@orange.fr.
Infection
|June 25, 2024
概括
感染性内心炎 (IE) 患者的腹 (SAs) 经常涉及Enterococcus faecalis,并存在诸如栓塞等并发症. 在IE患有栓塞的患者中,早期评估骨脱落至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 传染性内心炎 (IE) 是一种严重的感染,影响心脏门.
- 腹 (SAs) 是IE的罕见但显著的并发症.
- 了解IE中SA特征对于诊断和管理至关重要.
研究的目的:
- 调查感染性内心炎患者腹的背景,细菌学,临床和放射学特征.
- 为了确定相关的病变,治疗策略和IE中SA的结果.
主要方法:
- 从2005年到2021年,对474名确定的IE患者进行了回顾性研究.
- 36名患者 (7.6%) 的SA诊断通过腹部CT扫描得到证实.
- 分析患者的人口统计,先前存在的疾病,致病生物和并发症.
主要成果:
- 常见的病原体包括Streptococcus spp.,Enterococcus faecalis和Staphylococcus spp. 这三种病原体.
- 常见的并发症是糖尿病,假发门和以前的IE.
- 频繁出现的症状包括腹痛和胸腔溢出;常见的并发症包括栓塞和骨关节感染.
结论:
- 与非SAIE患者相比,IE患者的腹显示出较高的大型植被,Enterococcus faecalis,罕见病原体,糖尿病,骨关节干扰和癌症.
- 腹可能来自脏病发作;IE患有栓塞的患者需要对腹进行评估.
- 结合心脏手术和脊髓切除术,心脏手术之前,被证明是安全的.
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