Endocarditis due to a lanthanic, unclassified Gram-negative bacterium (group IV d).
Endocarditis due to a lanthanic, unclassified Gram-negative bacterium (group IV d).
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由未分类的镧系革兰氏阴性细菌（IV d 组）引起的心内膜炎。
DOI：
10.1093/ajcp/49.2.220
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发表时间：
1968
影响因子：
3.5
通讯作者：
R. Weaver
中科院分区：
文献类型：
--
作者：
C. Graber;L. Jervey;W. Ostrander;L. H. Salley;R. Weaver
肺部叩诊听诊清晰。心脏增大，最大强度点位于左侧第6肋间2 cm。锁骨中线的外侧心尖部有IV/VI级刺耳的系统性杂音，并向腋窝传播。肝缘触痛3 cm。右肋缘下方脾脏未触及。躯干或下肢的任何运动都会引起骶骨区的疼痛。脚踝处有水肿痕迹。在前臂中未观察到栓塞病变，手指无杵状变。
lungs were clear to percussion and ausculta tion. The heart was enlarged, with the point of maximal intensity in the sixth left inter costal space 2 cm. lateral to the midclavicular line. There was a grade IV/VI harsh sys tolic murmur at the apex which was trans mitted to the axilla. The tender edge of the liver was palpable 3 cm. below the right costal margin. The spleen was not palpable. Any movement of the trunk or lower ex tremities elicited pain in the sacral region. A trace of edema was present in the ankles. No embolic lesions were noted in the ex tremities and there was no clubbing of the fingers.