78岁女性患有重复性急性缺血性中风的非细菌性血栓内心炎:一个病例报告
William R Rankin1, Lauren B Querin2, Megan Free3
1Emergency Medicine, Mayo Clinic Alix School of Medicine, Scottsdale, USA.
Cureus
|November 5, 2024
概括
非细菌性血栓性内心炎 (NBTE) 是急性髓性白血病 (AML) 患者的罕见并发症. 这一案例突出了诊断和治疗复发性中风的NBTE的挑战,强调了多学科的方法.
科学领域:
- 心脏病学 心脏病学
- 血液学 血液学 血液学
- 神经学 神经学
背景情况:
- 非细菌性血栓性内心炎 (NBTE) 是患有恶性瘤的患者的罕见并发症.
- 急性髓性白血病 (AML) 诱导高凝血状态,增加栓塞事件的风险.
- 在AML中,NBTE存在诊断和治疗方面的挑战,尤其是神经症状.
研究的目的:
- 在患有复发性AML的患者中报告复杂的马兰特性内心炎病例.
- 突出NBTE在血液恶性瘤中的诊断和治疗挑战.
- 强调高怀疑指数和多学科管理的重要性.
主要方法:
- 一个78岁的女性患有AML复发的病例报告.
- 临床表现,诊断工作和NBTE的治疗.
- 在瘤学,神经学和心脏学之间协调多学科的护理.
主要成果:
- 患者经历了反复的栓塞性中风,尽管抗凝药.
- 诊断的NBTE证实了膜血栓和脑梗塞的证据.
- 通过全身抗凝药和协调后续行动成功管理.
结论:
- 在出现神经症状的AML患者中应考虑NBTE.
- 在AML中高凝血状态增加了NBTE和栓塞事件的风险.
- 及时诊断和多学科管理对于预防并发症至关重要.
相关概念视频
Endocarditis I: Introduction
2
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...
2
Endocarditis II: Clinical features and Diagnostic Tests
2
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...
2
Endocarditis III: Medical Management
2
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...
2
Endocarditis IV: Nursing Management
2
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...
2
Myocarditis II: Clinical features and Diagnostic Tests
2
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
2


