与恶性病相关的三门非细菌性血栓内心炎:一种罕见的临床表现
Thomas Ad Jackson1, Muhammad Khan1, Anton Labeeb1
1Cardiology, Salisbury District Hospital, Salisbury, GBR.
Cureus
|September 29, 2025
概括
非细菌性血栓性内心炎 (NBTE) 是一种罕见的心脏疾病. 这个案例突出了NBTE涉及三个心脏门,在患有恶性瘤的患者中呈现心力衰竭和肺栓塞.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 非细菌性血栓性内心炎 (NBTE) 具有无菌植被的特征,通常与恶性瘤或炎症的高凝血状态有关.
- NBTE通常是无症状的,诊断通常是由于全身栓塞而发生的;心力衰竭和多膜干扰是不常见的表现.
研究的目的:
- 报告一种罕见的NBTE病例,该病例同时涉及额头,三管和大动脉.
- 强调在患有恶性瘤,出现血栓事件或心力衰竭的患者中考虑NBTE的重要性.
主要方法:
- 一个57岁的男性患有呼吸障碍和心力衰竭的迹象的病例报告.
- 诊断工作包括对肺栓塞和肝脏质量的成像,对高凝血状态的评估和透食管心声谱 (TEE).
- NBTE的诊断是基于临床表现,成像发现,阴性血液培养物和与恶性瘤的关联而建立的.
主要成果:
- 患者出现心力衰竭,肺栓塞和肝脏质量暗示胆管癌.
- TEE揭示了额头,三角和大动脉的植被,导致严重的反.
- 该患者有深静脉血栓和外围皮肤缺血病史,表明高凝血状态.
结论:
- 这种病例代表了一种罕见的NBTE病例,该病例影响了所有三个心脏门 (心心膜,三管,大动脉).
- 涉及右侧门并表现为心力衰竭和肺栓塞的NBTE非常罕见.
- 在患有恶性瘤和栓塞事件,新发声或心力衰竭症状的患者中,对NBTE的高度怀疑至关重要.
相关概念视频
Endocarditis II: Clinical Features of Infective Endocarditis
421
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...
421
Endocarditis IV: Nursing Management
328
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...
328
Endocarditis III: Medical Management
213
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...
213
Endocarditis I: Introduction
393
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...
393
Mitral Stenosis II: Clinical features and Diagnostic Tests
220
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
220
Mitral Stenosis III: Medical Management
247
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
247


