0215国际期刊速递丨今日热点心内膜_浏阳市新闻_

郝万利 http://m.39.net/pf/a_4442975.html
TODAY今日发布CirculationResearchEarlyRecent,Feb14,今日发布02篇ResearchandPracticeinThrombosisandHaemostasisEarlyRecent,Feb14,今日发布01篇JournalofCardiacSurgeryEarlyRecent,Feb14,今日发布04篇RECOMMEND推荐阅读01Tropherymawhipplei心内膜炎：一种罕见的感染，具有潜在的致命后果JournalofCardiacSurgeryArticleMirkoMuretti,AmarKeiralla,etc.昨天23:46Wereportacaseofculture‐negativeaorticvalveendocarditissecondarytoTropherymawhippleiinfection.Ourpatientunderwentaorticvalvereplacementafter4weeksofantibiotictherapywithpersistentlynegativebloodcultureresults.Despiteatechnicallyuneventfuloperation,thepatientshowedcontinuedsepsisandwasunresponsivetoabroad‐spectrumofantibiotictherapywithsubsequentmultiorganfailure.Hediedonthe5thpostoperativeday,anddiagnosiswasestablishedatpostmortemexamination.Inthiscasereport,wediscussthediagnosisandtreatmentofararetypeofendocarditiscausedbyT.whipplei.我们报告一例培养阴性的主动脉瓣心内膜炎继发于滋养细胞瘤whipplei感染。我们的病人在抗生素治疗4周后接受主动脉瓣置换术，血培养结果持续阴性。尽管手术技术上无大碍，但患者仍表现出持续的败血症，对广谱抗生素治疗无反应，随后出现多器官衰竭。术后第5天死亡，尸检确诊。在本病例报告中，我们讨论了一种罕见的由惠氏T杆菌引起的心内膜炎的诊断和治疗。扫描