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1993年7～9月我院内科连续收治3例感染性心内膜炎(IE)病人,其基础病因均属不常见,现报道如下。 例1.男,64岁。2月前出现发热,体温在37.5～38.5℃之间,伴咳嗽、气促、体重下降。在外院作胸部CT及支纤镜检查诊为“左上肺前段肺大泡”、“左主支气管炎症”而予青霉素及先锋必等不规则治疗,症状反反复复,于7月28日以“发热待查”收住院。患者既往有“冠心病”史6年,其余无特殊。检查体温37.5℃,右眼球结膜可见一瘀斑。HR118次/分,节律整齐,心尖部可闻3/6级全收缩期杂音。未闻喀喇音。作UCG报告为二尖瓣脱垂及二尖瓣赘生物,范围0.68×0.65cm,血培养阴性。我们按IE处理持续用头孢
From July to September 1993, three cases of infective endocarditis (IE) were admitted to our hospital in medical practice. The underlying etiology of the patients was unusual, and the report is as follows. Example 1. Male, 64 years old. 2 months ago fever, body temperature between 37.5 ~ 38.5 ℃, with cough, shortness of breath, weight loss. In the outer court for chest CT and bronchoscopy examination for the “left upper lung bullae”, “left main bronchial inflammation” and to penicillin and pioneer will be irregular treatment, the symptoms repeatedly, on July 28 to “ Fever to be checked ”admitted to hospital. Past history of patients with “coronary heart disease” history of 6 years, the rest without special. Check the body temperature 37.5 ℃, the right eye conjunctiva can see a ecchymosis. HR118 beats / min, rhythm, apex can be heard 3/6 level systolic murmur. Did not hear the Harmony tone. UCG was reported as mitral valve prolapse and mitral valve neoplasm in the range of 0.68 x 0.65 cm with negative blood cultures. We treated cephalosporin continuously by IE