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題 名 | 感染性心內膜炎併發顱內菌性動脈瘤--病例報告=Infective Endocarditis Complicating with Intracranial Mycotic Aneurysm--Case Report |
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作 者 | 李秉穎; 洪大川; 周友三; 蔡正河; 黃福昭; | 書刊名 | 內科學誌 |
卷 期 | 9:2 1998.06[民87.06] |
頁 次 | 頁89-92 |
分類號 | 415.938 |
關鍵詞 | 顱內菌性動脈瘤; 感染性心內膜炎; Intracranial mycotic aneurysm; Infective endocarditis; |
語 文 | 中文(Chinese) |
中文摘要 | 一位24歲女性因貧血轉診至本院,並主述有一個月的發熱,倦怠,下肢水腫及氣 促。理學檢查發現結膜蒼白,S3奔馬音,及雙側肺囉音。胸部X光片及心臟超音波檢查證 實有亞急性心內膜炎合併心衰竭及急性肺水腫。然而,在廣效性抗生素的投與下情況並未好 轉。住院後的第6天,患者忽然出現劇烈局限性頭痛,且支持療法不能緩解。緊急頭部電腦 斷層掃瞄及顱內血管攝影發現為瀕臨破裂之動脈瘤。在及時的手術切除證實為菌性動脈瘤 後,患者接受二尖瓣置換術及持續地抗生素治療,恢復情況良好。6周後追蹤電腦斷層檢查 無再發的跡象。有鑒於顱內菌性動脈瘤破裂的高死亡率及早期診斷的不易,故提出報告。 。 |
英文摘要 | A 24-year-old female was referred to our Clinics for anemia. She complained of intermittent fever, malaise, lower legs dema and effort dyspnea for 1 month. Pale conjunctive, S3 allop heart sound and diffuse rales in bilateral lungs were etected. Subacute bacterial endocarditis with congestive eart failure and acute pulmonary edema were documented ★ chest x-ray and echocardiography. Broad-spectrum anti★otics were given immediately but resulted in vain. She sufered from acute onset of localized, unremitting severe head★che 6 day later. Emergent cranial computed tomography and angiography demonstrated an impending rupture aneurysm located in the left occipital region. Aneurysmectomy followed mitral valve replacement were performed. Pathology data proved mycotic aneurysm in nature. Her general conditions became better and no more aneurysms could be found after 6-weeks antibiotics therapy. We present this case, considering the high mortality if ruptured, as well as difficulty in early diagnosis, of intracranial mycotic aneurysm. |
本系統中英文摘要資訊取自各篇刊載內容。