恙虫病表现为二尖瓣感染性心内膜炎。

Sujata Devi, Debasish Das, Debasis Acharya, Tutan Das, Sashikant Singh, Jaideep DAS Gupta, Subhas Pramanik
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引用次数: 0

摘要

恙虫病表现为二尖瓣感染性心内膜炎的情况非常罕见。关于恙虫病感染性心内膜炎的报道很少,此前仅有一例报道称主动脉瓣受累。一名 18 岁女性因持续发热 1 个月而就诊。反复血液培养均呈阴性。她最终被诊断为恙虫病,恙虫病IgM呈阳性,长期口服强力霉素单药治疗后,她开始发烧。虽然军团菌、支原体和柯西氏菌等非典型微生物可引起培养阴性的心内膜炎,但我们的患者二尖瓣前后瓣叶都出现了植被。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Scrub typhus presenting as mitral valve infective endocarditis.

Scrub typhus presenting as infective endocarditis of the mitral valve is rare. There are few reports of infective endocarditis by scrub typhus with just one previous report of involvement of the aortic valve. An 18-year-old woman presented with prolonged fever for 1 month. Her repeated blood cultures were negative. She was finally diagnosed to have scrub typhus with scrub typhus IgM being positive and became afebrile with prolonged oral doxycycline monotherapy. Although atypical organisms such as Legionella, Mycoplasma and Coxiella are described to cause culture-negative endocarditis, vegetations were present on both the anterior and posterior mitral valve leaflets in our patient.

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