Successful treatment of polymicrobial multivalve infective endocarditis
Successful treatment of polymicrobial multivalve infective endocarditis
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成功治疗多种微生物多瓣膜感染性心内膜炎
DOI：
10.1007/s10554-006-9147-y
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发表时间：
2007
期刊：
影响因子：
--
通讯作者：
L. Badano
中科院分区：
文献类型：
--
作者：
G. Allocca;G. Slavich;G. Nucifora;M. Slavich;R. Frassani;M. Crapis;L. Badano
一名57岁男子提出了三个瓣膜感染性心内膜炎。三尖瓣、二尖瓣和主动脉瓣上有赘生物。他有多种并发症，如肺脓肿、严重贫血和充血性心力衰竭。他的总体状况极差。强化的药物治疗，如输血，机械通气和强心剂支持，使他能够忍受手术。三瓣膜置换术成功，无严重并发症。植物培养生长牛链球菌和粪肠球菌。1年随访时，患者存活，NYHA心功能I级。
A 57-year-old man presented with triple valve infective endocarditis. There were vegetations on the tricuspid, mitral, and aortic valve. He had multiple complications such as pulmonary abscess, severe anaemia, and congestive heart failure. His general condition was extremely poor. Intensive medical therapy, such as blood transfusion, mechanical ventilation, and inotropic support, allowed him to tolerate surgery. Triple valve replacement was successfully performed without major complication. Vegetation cultures grewStreptococcus bovisandEnterecoccus faecalis. At 1 year follow-up, the patient is alive in NYHA functional class I.