布氏杆菌心内膜炎合并主动脉瓣瓣周脓肿1例

发布时间：2019-07-21 17:57

【摘要】：正患者女,61岁,以"胸闷气短2个月,加重1个月"为主诉入院。患者2年前因布氏杆菌抗体血管凝集试验1:400(++++),诊断为布氏杆菌病。入院查体:主动脉瓣听诊区可闻及3/6级收缩期喷射性杂音,舒张期叹气样杂音。血生化检查:白细胞4.35×109/L,B型钠尿肽2594pg/ml。布氏杆菌抗体血管凝集试验1:200(++++),血培养阴性(多次)。经胸超声心动图:主动脉瓣呈三叶,瓣叶破坏,显著增厚,附加多发强回声小团块,开放受限,跨瓣血流速度加快,关闭时右冠瓣及附加团
[Abstract]:The positive patient, 61 years old, was admitted to hospital with chest tightness and shortness of breath for 2 months and aggravation for 1 month. Brucellosis was diagnosed as brucellosis 2 years ago because of brucellosis antibody vascular aggregation test 1 鈮，

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