https://scholars.lib.ntu.edu.tw/handle/123456789/596145
標題: | Streptococcus agalactiae infective endocarditis with large vegetation in a patient with underlying protein S deficiency | 作者: | HSIAO-LIANG CHENG WEI-CHOU LIN PO-YUAN SHIH CHI-HSIANG HUANG YEN-CHUN HSU JR-CHI YIE Chen S.-Y. CHIH-PENG LIN |
公開日期: | 2013 | 卷: | 41 | 期: | 1 | 起(迄)頁: | 247-250 | 來源出版物: | Infection | 摘要: | We present a case of a patient with underlying protein S deficiency who suffered from infective endocarditis with a large anterior mitral leaflet (AML) mass of approximately 4.5 cm in length. Intraoperative transesophageal echocardiography (TEE) revealed the mass at the AML base and a rupture of the posterior mitral leaflet chordae tendinae. The vegetation's large size may have been caused by one or more of three factors: location, underlying disease, and the microorganism causing infection. Patients with protein S deficiency are prone to thromboembolic events during cardiac surgery. Infective endocarditis caused by Streptococcus agalactiae usually has a poor prognosis, and, thus, early surgery is recommended. ? 2012 Springer-Verlag. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84873713279&doi=10.1007%2fs15010-012-0334-6&partnerID=40&md5=180457a42f82bb480d3e1ba3753b3cbc https://scholars.lib.ntu.edu.tw/handle/123456789/596145 |
ISSN: | 0300-8126 | DOI: | 10.1007/s15010-012-0334-6 | SDG/關鍵字: | D dimer; furosemide; penicillin G; aged; article; bacterial endocarditis; blood culture; cardiomegaly; case report; chorda tendinea rupture; diabetes mellitus; drowsiness; erythema; female; fever; follow up; group B streptococcal infection; high risk patient; human; hypertension; infection control; intraoperative period; leukocytosis; lung congestion; mitral valve disease; mitral valve replacement; petechia; prognosis; protein blood level; protein S deficiency; septic shock; Streptococcus agalactiae; systemic inflammatory response syndrome; systolic heart murmur; tachypnea; thorax radiography; thrombocytopenia; transesophageal echocardiography; Aged, 80 and over; Echocardiography, Transesophageal; Endocarditis, Bacterial; Female; Humans; Mitral Valve Insufficiency; Protein S Deficiency; Streptococcal Infections; Treatment Outcome |
顯示於: | 病理學科所 |
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