传染性内心炎呈现为双侧眼球冠状腺缺血症和急性视力丧失
Ricardo Peixoto1, Eleni Zopounidou2, Jeffrey Khoo3
1Queen's Medical Centre Nottingham University Hospital NHS Trust, Nottingham, UK.
BMJ case reports
|January 29, 2025
概括
诊断感染性内心炎 (IE) 可能是困难的,特别是当症状,如视力损失从眼球胆道梗塞出现没有典型的迹象. 高临床怀疑指数对于准确诊断至关重要.
科学领域:
- 眼科医生 眼科 眼科
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
背景情况:
- 传染性内心炎 (IE) 是一种严重的感染,影响心脏门.
- 眼部并发症在IE中可能发生,但通常与特定的发现有关.
- 诊断IE可能具有挑战性,特别是在非典型的表现.
研究的目的:
- 为了突出一个感染性内心炎的困难病例.
- 强调IE非典型眼部表现所带来的诊断挑战.
- 为了强调临床怀疑在诊断IE时的重要性.
主要方法:
- 案例报告的呈现方式.
- 临床发现和诊断工作的审查.
- 眼科和心脏评估的相关性.
主要成果:
- 在双侧眼球冠状动脉梗塞后,诊断出一种感染性内心炎病例.
- 诊断是在没有典型的迹象,如视网膜血管炎,栓塞现象或明显的心脏症状的情况下进行的.
- 患者的视力损失是导致IE诊断的主要投诉.
结论:
- 传染性内心炎可能表现出微妙或非典型的症状,包括严重的视力损失.
- 眼球冠状动脉梗塞可能是传染性内心炎的预兆.
- 高临床怀疑指数对于及时诊断和治疗传染性内心炎至关重要,即使没有经典指标.
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