感染性心内膜炎模拟抗中性粒细胞-细胞质-抗体相关血管炎伴肾小球肾炎1例报告。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Ahmad Matarneh, Sundus Sardar, Abdelrauof Akkari, Omar Salameh, Naman Trivedi, Muhammad Abdulbasit, Navin Verma, Ronald Miller, Nasrollah Ghahramani
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引用次数: 0

摘要

背景:感染性心内膜炎偶尔表现为抗中性粒细胞细胞质抗体阳性,导致诊断困难和混淆,因为它可能被错误地标记为抗中性粒细胞-细胞质-抗体相关血管炎。区分这两个因素对于适当的管理至关重要。病例介绍:在本病例报告中,我们描述了一位77岁的白人非西班牙裔男性患者,他最初表现为抗中性粒细胞-细胞质-抗体相关血管炎的特征,但最终被诊断为感染性心内膜炎。结论:我们的研究结果强调,在疑似抗中性粒细胞-细胞质-抗体相关血管炎的患者中,需要排除感染性心内膜炎,因为它们可能是相同的,治疗依赖于不同的治疗方法。免疫抑制治疗对感染性心内膜炎患者有毁灭性的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Infective endocarditis mimicking antineutrophil-cytoplasmic-antibody-associated vasculitis with glomerulonephritis: a case report.

Infective endocarditis mimicking antineutrophil-cytoplasmic-antibody-associated vasculitis with glomerulonephritis: a case report.

Infective endocarditis mimicking antineutrophil-cytoplasmic-antibody-associated vasculitis with glomerulonephritis: a case report.

Infective endocarditis mimicking antineutrophil-cytoplasmic-antibody-associated vasculitis with glomerulonephritis: a case report.

Background: Infective endocarditis occasionally presents with antineutrophil cytoplasmic antibody positivity, leading to diagnostic challenges and confusion, as it can be mislabeled antineutrophil-cytoplasmic-antibody-associated vasculitis. Distinguishing between these two factors is crucial for appropriate management.

Case presentation: In this case report, we describe a 77-year-old White non-Hispanic male patient who initially presented with features suggestive of antineutrophil-cytoplasmic-antibody-associated vasculitis but was ultimately diagnosed with infective endocarditis.

Conclusion: Our findings emphasize the need to rule out infective endocarditis in patients with suspected antineutrophil-cytoplasmic-antibody-associated vasculitis, as it can be the same, and management relies on different lines of therapy. Immunosuppression therapy can lead to devastating effects in patients with infective endocarditis.

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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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