培养阴性透导管肺内心炎
Chukwunonyelum Odukwe1, Ahmed Abdelrahman2, Ali N Zaidi3
1Icahn School of Medicine at Mount Sinai, New York, New York, USA.
这一案例突出显示了一位先前进行了门置换的患者的透管肺内心炎. 先进的成像和元基因组测序对于诊断和指导治疗至关重要.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 放射学 放射学是一门学科.
背景情况:
- 假内心炎 (PVE) 带来了诊断上的挑战,尤其是在最初的负面研究中.
- 一位38岁的女性之前多次进行心脏修复,出现了暗示PVE的症状.
研究的目的:
- 描述一个复杂心脏病患者的PVE病例.
- 为了说明PVE中先进的诊断模式的实用性.
主要方法:
- 18 用于成像的F-氧葡萄糖定子发射断层扫描-计算机断层扫描 (FDG-PET/CT).
- 用于病原体识别的元基因组测序.
主要成果:
- FDG-PET/CT显示了败血性肺栓塞和异常的肺吸收.
- 基因组序列测序确定了*Haemophilus parainfluenzae*作为致病原体.
- 患者接受了成功的门置换和抗生素治疗.
结论:
- 在患有持续发烧和阴性血液培养的患者中,应考虑生物假体内心炎.
- 在临床上对PVE的怀疑很高时,早期利用先进的诊断是至关重要的.
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