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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Culture Negative Infective EndocarditisAssociated with Osler?s Nodes
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Culture Negative Infective EndocarditisAssociated with Osler?s Nodes

机译：与Osler淋巴结相关的培养阴性感染性心内膜炎

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Infective endocarditis is a form of endocarditis, or inflammation, of the inner tissue of the heart, such as its valves, caused by infectious agents. The agents are usually bacterial, but other organisms can also be responsible. The prototypic lesion of infective endocarditis the vegetation is a mass of platelets, fibrin, micro-colonies of microorganisms, and scant inflammatory cells. Infection most commonly involves heart valves (either native or prosthetic) but may also occur on the low-pressure side of a ventricular septal defect, on the mural endocardium where it is damaged by aberrant jets of blood or foreign bodies, or on intracardiac devices themselves. We studied one patient of rheumatic heart disease with fever, osler?s nodes and echocardiographic evidence of endocarditis but blod culture was negative. Patient was successfully treated with antibiotics. This article highlights the diagnostic utility of osler?s nodes in culture negative endocarditis.
机译：感染性心内膜炎是由感染因子引起的心脏内部组织（例如瓣膜）心内膜炎或炎症的一种形式。病原通常是细菌，但其他生物也可能负责。感染性心内膜炎的原型病变是大量的血小板，纤维蛋白，微生物的微菌落和少量炎症细胞。感染最常见的是心脏瓣膜（天然的或人工的），但也可能发生在室间隔缺损的低压侧，在壁心内膜上被异常的血液或异物喷射损坏的心内膜上，或在心内装置本身上。我们对一名风湿性心脏病患者进行了发烧，骨淋巴结清扫和心内膜炎的超声心动图检查，但血液培养阴性。患者已成功使用抗生素治疗。本文重点介绍了osler淋巴结在培养阴性心内膜炎中的诊断作用。

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