以老年病症候群表現之感染性心內膜炎

本個案為83歲女性，身體狀況因全身無力和食慾差於一個月內持續惡化，兩次到急診就診後轉住院治療。老年醫學團隊透過周全性老年評估發現個案合併有認知功能異常、憂鬱症狀、身體功能減退、疼痛和營養不良等多重老年病症候群，這些不典型的表現最終被診斷為感染性心內膜炎。經過跨專業領域團隊討論及介入，個案的身心狀態皆有所提升，之後轉入心臟外科並成功進行瓣膜置換手術，術後恢復良好。周全性老年評估的落實有助於穩定個案狀況、讓個案得以在風險較低的狀況下接受手術，也降低病人術後併發症、功能衰退的風險，進而提升術後生活品質。

關鍵字

周全性老年評估；感染性心內膜炎

並列摘要

This case concerns an 83-year-old woman hospitalized after two emergency department visits due to generalized weakness and poor appetite that continued to worsen over one month. Through comprehensive geriatric assessment, our geriatric team found that the patient had multiple geriatric syndromes and conditions, including cognitive abnormalities, depressive symptoms, decreased physical function, pain, and malnutrition. These atypical presentations finally led to the diagnosis of infective endocarditis. In addition to improving diagnostic accuracy, implementing comprehensive geriatric assessment helps reduce the risk of the surgery and post-operative complications and deconditioning, thereby improving the patient’s quality of life after surgery.

並列關鍵字

comprehensive geriatric assessment ； infective endocarditis

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