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首页> 外文期刊>International Journal of General Medicine >Infective endocarditis complicated by aortic graft infection and osteomyelitis: case report and review of literature
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Infective endocarditis complicated by aortic graft infection and osteomyelitis: case report and review of literature

机译：感染性心内膜炎并发主动脉移植物感染和骨髓炎：病例报告及文献复习

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Abstract: Primary aortic graft infection early after aortic graft insertion is well described in the literature. Here, we present a unique case of late aortic graft infection 5 years after insertion secondary to mitral valve endocarditis, resulting from cellulitis in a patient with severe venous varicosities. A 63-year-old male presented for severe low back pain, constipation, and low-grade fever. An abdominal computed tomography scan with oral and intravenous contrast showed a normal spine and urinary tract. Blood and urine cultures, done at the same time, grew Staphylococcus aureus. A transesophageal echocardiogram confirmed the diagnosis of endocarditis. Subsequently, a gallium scan showed increased uptake in the vertebral bodies, aortic graft, left patella, and left ankle. After 3 months of antibiotic therapy, the patient's low back pain resolved with normalization of his laboratory values. He remained free of infection at a 2-year follow-up. We reviewed the literature concerning the atypical presentation of infective endocarditis, with a focus on distant metastases at initial presentation, such as osteomyelitis and aortic graft infection, as well as the different treatment modalities. This report describes successful medical treatment with intravenous followed by oral antibiotics for an infected endovascular graft without any surgical intervention.
机译：摘要：在主动脉移植物插入后早期进行的主动脉移植物感染在文献中已有很好的描述。在这里，我们介绍了由严重静脉曲张引起的蜂窝织炎引起的二尖瓣心内膜炎继发于插入后5年主动脉移植物晚期感染的独特病例。一名63岁的男性因严重的下腰痛，便秘和低烧而出现。腹部计算机断层扫描与口腔和静脉造影对比显示脊柱和尿道正常。血液和尿液培养同时进行，生长出金黄色葡萄球菌。经食道超声心动图证实了心内膜炎的诊断。随后，镓扫描显示椎体，主动脉移植物，左骨和左脚踝的摄取增加。经过3个月的抗生素治疗，患者的腰痛通过实验室值的正常化得以解决。在为期2年的随访中，他没有感染。我们回顾了有关感染性心内膜炎的非典型表现的文献，重点是在最初表现时的远处转移，例如骨髓炎和主动脉移植物感染以及不同的治疗方式。该报告描述了在没有任何外科手术干预的情况下，成功进行了静脉注射抗生素治疗，然后再口服抗生素治疗感染的血管内移植物。

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