[一例26岁男性患者的肺炎、双瓣膜心内膜炎和肺动脉栓塞]。

4区医学 Q3 Medicine Internist Pub Date : 2022-04-01 Epub Date: 2021-12-22 DOI:10.1007/s00108-021-01228-1

Lisa Hasselbach, Maximilian Dübbers

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引用次数: 0

摘要

一个26岁的男性病人提出了左侧肺炎，心内膜炎的三尖瓣和肺动脉瓣和肺动脉栓塞。2004年，由于先天性主动脉瓣狭窄，进行了罗斯手术。Q热病原菌伯纳蒂克希菌抗体滴度升高。在左氧氟沙星和强力霉素的抗生素治疗下，症状得到改善，炎症参数正常化。心内膜炎的治疗是成功的。

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[Pneumonia, endocarditis of two valves and pulmonary artery embolism in a 26-year-old male patient].

A 26-year-old male patient presented with left-sided pneumonia, endocarditis of the tricuspid and pulmonary valves and a pulmonary artery embolism. In 2004 a Ross operation was performed because of congenital aortic valve stenosis. There was an elevation of the antibody titer for Coxiella burnetii, the pathogen of Q fever. Under antibiotic treatment with levofloxacin and doxycycline there was an improvement of the symptoms and a normalization of the inflammation parameters. The treatment of the endocarditis was successful.

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来源期刊

Internist 医学-医学：内科

CiteScore

1.20

自引率

0.00%

发文量

139

审稿时长

4-8 weeks

期刊介绍： Der Internist is an internationally respected journal dealing with all aspects of internal medicine. The journal serves both the scientific exchange and the continuing education of internists working in practical or clinical environments as well as of general practitioners who are particularly interested in internal medicine. The focus is on the topics of prevention, diagnostic approaches, management of complications, and current therapy strategies. Comprehensive reviews on a specific topical issue focus on providing evidenced based information on diagnostics and therapy. Case reports feature interesting cases and aim at optimizing diagnostic and therapeutic strategies. Review articles under the rubric "Continuing Medical Education" present verified results of scientific research and their integration into daily practice.