- 期刊
金黃色葡萄球菌心內膜炎併發大贅生物及栓塞：一病例報告
Staphylococcus Aureus Endocarditis with Large Vegetation and Emboli: Report of a Case
摘要
本文報告一例12歲大的男孩，因有10天的間歇性高燒，而來本院求診。身體檢查，於心尖處可聽到第二度心縮期雜音，結膜有瘀斑，手掌及足底可見Janeway氏病灶。血液培養出金黃色葡萄球菌。M-mode和雙相超音波心圖發現僧帽瓣前葉稍微增厚，在左心房內有一直徑約2.2公分的贅生物，附著於僧帽瓣後葉。主動脈攝影顯示腹主動脈和上腸系膜動脈完全阻塞。經手術，於腹主動脈取出約5到6公分長的細菌性栓塞，病理證實內含球菌。而彼病人發生腦部出血，於住院第20天死亡。
關鍵字
無資料並列摘要
A 12-year-old boy with infective endocarditis caused by staphylococcus aureus is reported. The patient suffered from intermittent high fever for 10 days. Physical examination revealed a grade II/VI systolic murmur at apex, conjunctival petechiae, and Janeway lesions over plams and soles. Three sets of blood culture were done inmmediately, and staphylococcus aureus was grown from all. Echocardiograms showed an increased thickness of anterior mitral leaflet, and a vegetation with 2.2cm in diameter was found in left atrium. Aortograms revealed total occlusion of abdominal aorta and superior mesenteric artery. Emergent operation of abdominal aorta was done, a bacterial embolus was taken out, measuring 5-6cm in length. Seven days after operation, cerebral hemorrhage occurred, and the patient expired 8 more days later.
延伸閱讀
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