Tricuspid Prosthetic Valve Endocarditis after Bioprosthesis Replacement in a Drug Addict: A Case Report

吸毒者之三尖瓣生物瓣置換術後人工瓣膜心內膜炎：病例報告

袁師敏(Shi-Min Yuan) ； 景華(Hua Jing)

《南臺灣醫學雜誌》 7卷1期 (2011/06) Pp. 45-50

https://doi.org/10.6726/MJST.201106_7(1).0006

摘要

三尖瓣的感染性心內膜炎是注射吸毒者的常見併發症。然而，已自行戒除吸毒者之復發性三尖瓣心內膜炎並不常見，且此類病患之三尖瓣人工瓣膜心內膜炎亦未見報導。一位過去吸毒者於三尖瓣置換以生物瓣後4年發生復發性三尖瓣人工瓣膜心內膜炎。患者接受保守抗菌治療得以順利恢復。三尖瓣人工瓣膜心內膜炎在吸毒者，特別是成功自行戒除吸毒者，可能會較容易得以保守治療。

關鍵字

地芬諾酯 ； 心內膜炎 ； 吸毒者 ； 復發 ； 三尖瓣

並列摘要

Infective endocarditis of the tricuspid valve is a common complication of injection drug use. However, the relapsed tricuspid valve endocarditis in drug addict after successful self-withdrawal was uncommon, and tricuspid prosthetic endocarditis was seldom described in such patients. A previous drug addict developed a relapsed tricuspid bioprosthetic endocarditis four years after tricuspid valve replacement. He was managed conservatively with antibacterial treatment and recovered favorably. Conservative management of tricuspid prosthetic endocarditis may be preferable in the injection drug users, especially in those with a successful self-withdrawal from drugs.

並列關鍵字

diphenoxylate ； endocarditis ； drug users ； recurrence ； tricuspid valve