Infective Endocarditis

被引：341

作者：

Hoen, Bruno ^{[1
,2
,3
]}

Duval, Xavier ^{[3
,4
,5
]}

机构：

[1] Univ Franche Comte, Ctr Hosp Reg Univ, Serv Malad Infect & Trop, F-25030 Besancon, France

[2] Univ Franche Comte, CNRS, Unite Mixte Rech Chronoenvironm 6249, F-25030 Besancon, France

[3] Assoc Pour Etude & Prevent Endocardite Infectieus, Paris, France

[4] INSERM, Ctr Invest Clin 007, AP HP, Hop Univ Bichat, Bichat, France

[5] Univ Paris 07, Unite Format & Rech Med Bichat, INSERM, U738, Bichat, France

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2013年 / 368卷 / 15期

关键词：

CULTURE-NEGATIVE ENDOCARDITIS; STAPHYLOCOCCUS-AUREUS; ANTIPLATELET THERAPY; EMBOLIC EVENTS; CEREBROVASCULAR COMPLICATIONS; ANTIBIOTIC-TREATMENT; VALVE SURGERY; MORTALITY; DIAGNOSIS; GUIDELINES;

D O I：

10.1056/NEJMcp1206782

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 55-year-old man with a history of mitral regurgitation seeks care after an episode of transient weakness in his right arm and speech difficulties. He underwent dental scaling 1 month earlier. He notes recent intermittent fevers and weight loss. On cardiac examination, his regurgitation murmur appears to be unchanged. A transthoracic echocardiogram shows a mobile, 12-mm mitral-valve vegetation and grade 2 (mild) regurgitation. Magnetic resonance imaging of the brain reveals recent ischemic lesions. How should the patient be further evaluated and treated?

引用

页码：1425 / 1433

页数：9

共 57 条

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