Native-valve endocarditis detected by point-of-care echocardiography.

IF 3.4 Q2 Medicine
Pablo Blanco, Liliana Figueroa, María Fernanda Menéndez
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引用次数: 1

Abstract

Background: Infective endocarditis carries a high morbidity and mortality; therefore, a rapid diagnosis and timely treatment is crucial to improve outcomes. Diagnosis of infective endocarditis is supported on echocardiogram findings.

Case presentation: An adult male with history of long-term hemodialysis, presented with embolic manifestations (cerebral, skin) and fever. A large vegetation in the mitral valve and other in the tricuspid valve were detected by point-of-care transthoracic echocardiogram, while blood cultures subsequently resulted positive for methicillin-resistant Staphylococcus aureus. Despite therapeutic efforts, the patient developed into an irreversible shock and died.

Conclusions: Point-of-care echocardiogram has a pivotal role in diagnosis and decision-making of infective endocarditis.

Abstract Image

Abstract Image

就地超声心动图检测原生瓣膜心内膜炎。
背景:感染性心内膜炎具有很高的发病率和死亡率;因此,快速诊断和及时治疗对改善预后至关重要。超声心动图结果支持感染性心内膜炎的诊断。病例介绍:一名长期血液透析史的成年男性,表现为栓塞症状(脑、皮肤)和发烧。经胸超声心动图检测到二尖瓣和三尖瓣的大植被,随后的血液培养结果为耐甲氧西林金黄色葡萄球菌阳性。尽管进行了治疗,但患者还是出现了不可逆转的休克,最终死亡。结论:即时超声心动图对感染性心内膜炎的诊断和决策具有重要意义。
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来源期刊
Ultrasound Journal
Ultrasound Journal Health Professions-Radiological and Ultrasound Technology
CiteScore
6.80
自引率
2.90%
发文量
45
审稿时长
22 weeks
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