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Pulmonary endarteritis and endocarditis complicated with septic embolism: a case report and review of the literature.
BMC Infectious Diseases ( IF 3.7 ) Pub Date : 2020-03-12 , DOI: 10.1186/s12879-020-4925-z
Arezoo Khosravi 1 , Zohreh Rostami 2 , Mohammad Javanbakht 2 , Nematollah Jonaidi Jafari 3 , Mohsen Sadeghi Ghahroudi 1 , Mohammad Hassan Kalantar-Motamed 4 , Ramezan Jafari 5, 6 , Behzad Einollahi 2
Affiliation  

Pulmonary endarteritis is a rare clinical phenomenon with congenital heart that can potentially lead to major complications. We report a 47-year-old man with pulmonary endarteritis. This patient presented with hypertension, chest pain and a previous history of pulmonary valve disease during childhood. Also, eight-months prior, he was hospitalized with dyspnea (Functional Class III), cough, phlegm, and night sweats without fever. Echocardiographic diagnosis in the first transtransthoracic echocardiography (TTE) was intense pulmonary valve stenosis (PVS) an, thus, the pulmonary valve vegetation and PVS, established by transesophageal echocardiography (TEE). He was referred for surgery after 1 weeks of intravenous antibiotic therapy for removal of the vegetation. Finally he was asymptomatic at 3-months of follow-up and was clinically in good condition. Therefore, the detection of infective endocarditis of the lung valve must not lengthy be prolonged.

中文翻译:

肺内膜炎和心内膜炎并发化脓性栓塞:一例病例报告并文献复习。

肺内膜炎是先天性心脏病的罕见临床现象,可能潜在地导致重大并发症。我们报告了一名47岁的男子患有肺动脉内膜炎。该患者在儿童时期表现出高血压,胸痛和肺动脉疾病的既往史。同样,在八个月前,他因呼吸困难(功能性III级),咳嗽,痰和盗汗入院,但未发烧。首次经胸腔超声心动图(TTE)的超声心动图诊断为强烈的肺动脉瓣狭窄(PVS),因此,通过经食道超声心动图(TEE)建立的肺动脉瓣植物和PVS。在静脉注射抗生素治疗1周后,他被要求进行手术以清除植被。最终,在随访的3个月中他没有症状,而且临床状况良好。因此,不能长时间延长对肺动脉瓣感染性心内膜炎的检测。
更新日期:2020-03-12
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