诊断假体内心炎尽管负面的工作-up
Bryce V Johnson1, Raaka G Kumbhakar2, Maria A Corcorran2
1Department of Medicine, Division of Cardiology, University of Washington, Seattle, Washington, USA.
JACC. Case reports
|October 3, 2024
概括
诊断假内心炎,特别是在苛刻的HACEK生物体,需要连续血液培养和先进的成像,如心脏正子辐射计算机断层扫描 (CT),当初始测试是负面的.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 医疗成像医学成像
背景情况:
- 假内心炎 (PVE) 带来了诊断挑战,通常模仿其他发烧性疾病.
- 在患有假发门和长期症状的患者中,早期怀疑内心炎至关重要.
- 原生内心炎 (NVE) 诊断与PVE不同,原因是假肢材料的干扰.
研究的目的:
- 探索假内心炎 (PVE) 的差异诊断.
- 突出PVE与NVE的独特诊断考虑因素.
- 为了确定PVE诊断的先进成像模式,当心声回声无定论时.
主要方法:
- 一个患有假动脉内心炎的患者的病例介绍.
- 利用连续血培养和多式成像,包括使用18F-氧糖的心脏正子发射计算断层扫描 (CT).
- 研究PVE的差异诊断和诊断挑战.
主要成果:
- 通过连续血液培养和心脏CT,确定了PVE的诊断.
- 病原体被确定为一种HACEK (血菌,聚合菌,心脏菌,艾肯氏菌,金氏菌) 病原体.
- 多式成像和重复培养对于诊断至关重要.
结论:
- 连续血液培养和多式成像对于诊断PVE至关重要.
- 心脏正子发射计算断层扫描 (CT) 在心声图是负的时是有价值的.
- 繁忙的生物体,如HACEK群细菌,使PVE诊断复杂化,需要持续的诊断工作.
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