风湿性心脏病年轻患者继发感染性心内膜炎的化脓性心栓塞性中风：病例报告。

IF 0.5 Q3 MEDICINE, GENERAL & INTERNAL

Oxford Medical Case Reports Pub Date : 2024-08-06 eCollection Date: 2024-08-01 DOI:10.1093/omcr/omae083

Helena Agostingo Buque, Evangelina Namburete, Deise Catamo Vaz, Frederico João Sebasteão, Yanina Baduro, Elder Lorenzo Rosales, Nachan Arroz, Lazara Bacallao, Damiano Pizzol, Lee Smith

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引用次数: 0

摘要

感染性心内膜炎导致中风的风险在第一周尤其高。此外，在资源匮乏的环境中，影像学手段有限，诊断路径不准确，风险会进一步增加。除抗生素治疗外，治疗方法还包括静脉溶栓，但感染性心内膜炎或机械性血栓切除术患者出现出血并发症的风险很高。我们在此报告了一例 24 岁男性风湿性心脏病患者因感染性心内膜炎继发化脓性心栓塞性中风的病例，该病例在资源匮乏的环境中得到了成功治疗。

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Septic cardioembolic stroke secondary to infective endocarditis in a young patient with rheumatic heart disease: a case report.

The risk of stroke due to infective endocarditis is particularly high during the first week. Moreover, in low-resource settings where imaging access is limited, and diagnostic pathways are inaccurate the risk further increases. In addition to antibiotic therapy, treatment may include intravenous thrombolysis, with high risk of hemorrhagic complications in patients with infective endocarditis or mechanical thrombectomy. We report here a case of a 24-year-old male with rheumatic heart disease presenting a septic cardioembolic stroke secondary to infective endocarditis that was successfully treated in a low-resource setting.

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来源期刊

Oxford Medical Case Reports MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

125

审稿时长

19 weeks

期刊介绍： Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.