Behçet's syndrome masquerading as infective endocarditis: A diagnostic conundrum and therapeutic challenge

IF 2.3 4区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Cardiovascular Pathology Pub Date : 2024-04-20 DOI:10.1016/j.carpath.2024.107648
Wei Qu, Youping Chen, Zhenlu Zhang
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Abstract

This case report presents a 20-year-old male patient initially diagnosed with infective endocarditis, later correctly identified as Behçet's syndrome. The patient's complex clinical presentation, including chest pain, aortic dilation, severe aortic regurgitation, and aortic root abscess, posed significant diagnostic and therapeutic challenges. Despite initial misdiagnosis and treatment difficulties, the patient's condition significantly improved with appropriate immunosuppressive therapy, underscoring the potential for successful management of this complex condition. This case serves as a valuable reminder of the diagnostic challenges posed by Behçet's syndrome and the importance of considering this condition in patients presenting with symptoms suggestive of infective endocarditis.

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伪装成感染性心内膜炎的贝赫切特综合征:诊断难题与治疗挑战。
本病例报告介绍了一名 20 岁的男性患者,他最初被诊断为感染性心内膜炎,后来被正确鉴定为贝赫切特综合征。患者的临床表现复杂,包括胸痛、主动脉扩张、严重主动脉瓣反流和主动脉根部脓肿,这给诊断和治疗带来了巨大挑战。尽管最初出现误诊和治疗困难,但经过适当的免疫抑制治疗后,患者的病情明显好转,突显了成功治疗这种复杂病症的潜力。该病例提醒我们,贝赫切特综合征给诊断带来了挑战,在患者出现感染性心内膜炎症状时考虑该病非常重要。
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来源期刊
Cardiovascular Pathology
Cardiovascular Pathology 医学-病理学
CiteScore
7.50
自引率
2.70%
发文量
71
审稿时长
18 days
期刊介绍: Cardiovascular Pathology is a bimonthly journal that presents articles on topics covering the entire spectrum of cardiovascular disease. The Journal''s primary objective is to publish papers on disease-oriented morphology and pathogenesis from clinicians and scientists in the cardiovascular field. Subjects covered include cardiovascular biology, prosthetic devices, molecular biology and experimental models of cardiovascular disease.
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