一例系统性红斑狼疮患者的天然瓣膜隐球菌性心内膜炎。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Northern Clinics of Istanbul Pub Date : 2023-04-27 eCollection Date: 2023-01-01 DOI:10.14744/nci.2023.04372
Seyedeh Kimia Yavari, Danielle Lapoint, Amanda Levy, Leili Pourafkari
{"title":"一例系统性红斑狼疮患者的天然瓣膜隐球菌性心内膜炎。","authors":"Seyedeh Kimia Yavari,&nbsp;Danielle Lapoint,&nbsp;Amanda Levy,&nbsp;Leili Pourafkari","doi":"10.14744/nci.2023.04372","DOIUrl":null,"url":null,"abstract":"<p><p><i>Cryptococcal endocarditis</i> is an exceedingly rare entity associated with high mortality and morbidity. Hereby, we present a 37-year-old patient with underlying systemic lupus erythematosus and end-stage renal disease who was diagnosed with <i>cryptococcal endocarditis</i> involving native mitral valve. Her blood culture grew Cryptococcus neoformans. Echocardiography confirmed presence of vegetations and patient underwent mitral valve replacement and received appropriate anti-fungal treatment. Her course was further complicated by sternal wound dehiscence and infection of hemodialysis site as well as atrial flutter. Unfortunately, patient passed 2 weeks after discharge from hospital. C. neoformans is typically known to cause serious central nervous system. However, this pathogen can rarely cause serious infective endocarditis case particularly in immune compromised patients or those with prosthetic valves. Fungal endocarditis is usually treated with a combination of surgery and anti-fungal medications.</p>","PeriodicalId":19164,"journal":{"name":"Northern Clinics of Istanbul","volume":null,"pages":null},"PeriodicalIF":0.9000,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/8f/NCI-10-277.PMC10170374.pdf","citationCount":"0","resultStr":"{\"title\":\"<i>Cryptococcal endocarditis</i> of native valve in a patient with systemic lupus erythematosus.\",\"authors\":\"Seyedeh Kimia Yavari,&nbsp;Danielle Lapoint,&nbsp;Amanda Levy,&nbsp;Leili Pourafkari\",\"doi\":\"10.14744/nci.2023.04372\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>Cryptococcal endocarditis</i> is an exceedingly rare entity associated with high mortality and morbidity. Hereby, we present a 37-year-old patient with underlying systemic lupus erythematosus and end-stage renal disease who was diagnosed with <i>cryptococcal endocarditis</i> involving native mitral valve. Her blood culture grew Cryptococcus neoformans. Echocardiography confirmed presence of vegetations and patient underwent mitral valve replacement and received appropriate anti-fungal treatment. Her course was further complicated by sternal wound dehiscence and infection of hemodialysis site as well as atrial flutter. Unfortunately, patient passed 2 weeks after discharge from hospital. C. neoformans is typically known to cause serious central nervous system. However, this pathogen can rarely cause serious infective endocarditis case particularly in immune compromised patients or those with prosthetic valves. Fungal endocarditis is usually treated with a combination of surgery and anti-fungal medications.</p>\",\"PeriodicalId\":19164,\"journal\":{\"name\":\"Northern Clinics of Istanbul\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.9000,\"publicationDate\":\"2023-04-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/39/8f/NCI-10-277.PMC10170374.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Northern Clinics of Istanbul\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.14744/nci.2023.04372\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2023/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Northern Clinics of Istanbul","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14744/nci.2023.04372","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0

摘要

隐球菌性心内膜炎是一种极为罕见的高死亡率和高发病率疾病。在此,我们报告了一名37岁的潜在系统性红斑狼疮和终末期肾病患者,他被诊断为隐球菌性心内膜炎,涉及天然二尖瓣。她的血液培养培养培养出了新型隐球菌。超声心动图证实存在赘生物,患者接受了二尖瓣置换术,并接受了适当的抗真菌治疗。胸骨伤口裂开、血液透析部位感染以及心房扑动使她的病程更加复杂。不幸的是,病人出院2周后就去世了。C.新生代通常会引起严重的中枢神经系统。然而,这种病原体很少会引起严重的感染性心内膜炎,尤其是在免疫受损的患者或有人工瓣膜的患者中。真菌性心内膜炎通常采用手术和抗真菌药物相结合的方法治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

摘要图片

摘要图片

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
Cryptococcal endocarditis of native valve in a patient with systemic lupus erythematosus.

Cryptococcal endocarditis is an exceedingly rare entity associated with high mortality and morbidity. Hereby, we present a 37-year-old patient with underlying systemic lupus erythematosus and end-stage renal disease who was diagnosed with cryptococcal endocarditis involving native mitral valve. Her blood culture grew Cryptococcus neoformans. Echocardiography confirmed presence of vegetations and patient underwent mitral valve replacement and received appropriate anti-fungal treatment. Her course was further complicated by sternal wound dehiscence and infection of hemodialysis site as well as atrial flutter. Unfortunately, patient passed 2 weeks after discharge from hospital. C. neoformans is typically known to cause serious central nervous system. However, this pathogen can rarely cause serious infective endocarditis case particularly in immune compromised patients or those with prosthetic valves. Fungal endocarditis is usually treated with a combination of surgery and anti-fungal medications.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
期刊最新文献
A rare paraneoplastic condition in Hodgkin lymphoma: Evans syndrome and literature review. Pachymeningitis in a pediatric case of IgG4-related disease successfully treated with mycophenolate mofetil. A rare pathology in the neck: Hydatid cyst. The effect of Myrtus communis L. extract on nephrolithiasis model in rats. Impact of central sensitization on clinical parameters in patients with rheumatoid arthritis.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1