Dental Treatment of a Patient with Infective Endocarditis: A Case Report

細菌性心內膜炎病患之牙科治療：病例報告

賴麗娟(Li-Jyuan Lai) ； 林雅婷(Yai-Tin Lin)

《臺灣兒童牙醫學雜誌》 21卷2期 (2021/06) Pp. 83-88

https://doi.org/10.6319/TJPD.202106_21(2).0006

摘要

Bacterial endocarditis is a disease that is difficult to diagnose early and difficult to treat. According to the literature, it may occur in patients with congenital heart valve disease and repaired valves. This report describes an eight-year-old boy with a history of ventricular septal defect (VSD). The patient came to our hospital and complained of repeated fever after root canal treatment of the upper left primary first molar. After blood bacteria culture and echocardiogram examination, he was diagnosed with bacterial endocarditis. After six weeks of antibiotics and dental treatment, there were no bacteria detected in the blood. The vegetation on the heart valve atrophied and no clinical fever was found before discharge. Oral health care and regular dental examination can reduce oral bacterial infection and prevent bacterial endocarditis.

關鍵字

Infective endocarditis ； Dental treatment

並列摘要

細菌性心內膜炎是一種初期診斷不易且治療困難的疾病。根據文獻記載，可能發生在有先天性心臟瓣膜疾病、瓣膜經過修補後的病例上。本篇報告描述一位有心室中隔缺損病史的八歲男孩，該病童求診時主訴施行左上第一乳臼齒根管治療後反覆發燒，在本院經過血液細菌培養和心臟超音波檢查後，診斷為細菌性心內膜炎。於住院期間施打六周的抗生素，及進行口內牙科治療之後，在血液中無驗出細菌、心臟瓣膜增生物逐漸縮小、並且無臨床發燒症狀後，給予出院。平日的口腔衛生照護和接受定期牙科檢查，可以降低口腔細菌感染及預防細菌性心內膜炎的發生。

並列關鍵字

細菌性心內膜炎 ； 牙科治療