在Candida右侧传染性内心炎
Koshi Ota1, Saneyuki Sumitomo2, Kazuomi Sekine2
1Emergency and Critical Care Medicine, Osaka Medical and Pharmaceutical University, Takatsuki, JPN.
Cureus
|December 29, 2025
概括
这份病例报告强调了一例罕见的Candida三管感染性内心炎 (IE) 病例,该病例发生在一名老年男性身上. 通过胸回声心脏成像进行早期诊断对于管理这种严重的真菌感染至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 心脏病学 心脏病学
- 菌类学 菌类学是指菌类学.
背景情况:
- 右侧传染性内心炎 (RSIE) 不常见.
- 坎迪达内心炎是一种罕见但严重的疾病,死亡率高.
- 风险因素包括先前的腹部手术和最近的抗生素暴露.
研究的目的:
- 在没有典型风险因素的患者中报告罕见的Candida三管IE病例.
- 在疑似病例中强调跨胸腔心声学 (TTE) 的诊断实用性.
- 讨论Candida内心炎的临床考虑.
主要方法:
- 一个78岁的男性患有RSIE的案例报告.
- 诊断通过阳性血液培养证实了Candida albicans的诊断.
- 胸外心声学 (TTE) 确定了三管的质量.
主要成果:
- 该患者出现了全身症状和阳性血液培养.
- 经过TTE检测,三门上发现了一个移动质量,表明IE.
- 尽管接受了治疗,但该患者后来因吸气肺炎而死亡.
结论:
- 虽然罕见,但应考虑在患有特定风险因素的患者中考虑Candida内心炎.
- 对于持续存在的系统性症状来说,TTE是一个至关重要的诊断工具,可以暗示IE.
- 及时诊断和管理对于改善真菌内心炎的结果至关重要.
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