使用隐形眼镜引起的细菌性心内膜炎。

Susumu Ishikawa, Hiroki Matsunaga, Hideki Mishima, Yasushi Katayama, Koichi Yuri, Koichi Ohashi, Daisuke Abe
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引用次数: 0

摘要

一名 17 岁女性因高烧、全身乏力和视力模糊转入我院。三周前,她使用了彩色隐形眼镜,随后出现眼睛充血、视力模糊的症状。间歇性发烧和全身乏力之后又出现了眼部症状。超声心动图显示,二尖瓣后叶上有移动的植被,伴有轻度二尖瓣反流。全身检查没有发现感染部位,因此,感染性心内膜炎的病因被认为是使用隐形眼镜导致的感染。患者最初接受了二尖瓣成形术,并切除了感染部位。然而,由于感染复发,19 天后必须重新进行手术,并将二尖瓣置换为生物瓣膜。使用隐形眼镜不当造成的血管外伤似乎导致了全身血源性感染和随后的心内膜炎。我们报告了一例罕见的因使用隐形眼镜引起的感染性心内膜炎病例。
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Bacterial endocarditis caused by contact lens usage.

A 17-year-old female was transferred to our hospital due to high fever, general fatigue, and dim eyesight. Three weeks before, she had used cosmetic colored contact lenses and then suffered from bloodshot eyes associated with dim eyesight. Intermittent fever and general fatigue were followed by eye symptoms. Echocardiography revealed moving vegetation on the posterior leaflet of the mitral valve associated with mild mitral valve regurgitation. There were no infectious sites in systemic examinations; thus, the cause of infective endocarditis was considered the infection due to contact lens usage. The patient initially received mitral valve plasty associated with the removal of infective sites. However, redo surgery was necessary 19 days later due to the relapse of infection, and the mitral valve was replaced by bioprosthesis. Traumatic injury of vessels due to inappropriate contact lens usage seemed to lead to systemic hematogenous infection and subsequent endocarditis. We report a rare case of infective endocarditis which was caused by contact lens usage.

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