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首页> 外文期刊>Journal of cardiology >Successful salvage of a patient with cardiac arrest caused by multiple pulmonary emboli and lung abscesses due to infective endocarditis of the tricuspid valve: a case report
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Successful salvage of a patient with cardiac arrest caused by multiple pulmonary emboli and lung abscesses due to infective endocarditis of the tricuspid valve: a case report

机译:由三尖瓣感染性心内膜炎引起的多发性肺栓塞和肺脓肿引起的心脏骤停患者的成功抢救:一例报告

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摘要

A 28-year-old female developed infective endocarditis in the tricuspid valve and multiple lung abscesses due to septic pulmonary emboli early after intensive therapy for ulcerative colitis. The pathogen was methicillin-resistant Staphylococcus aureus. Usual antibiotic agents and linezolid were administered. Three weeks later, she fell into cardiopulmonary arrest due to further pulmonary emboli and required mechanical circulatory assist. Fatal brain damage was suggested at first. Two days later, she fully regained consciousness and underwent tricuspid valve replacement using mechanical valve and extirpation of septic pulmonary embolus. Mechanical circulatory assist was discontinued on the next day. After strenuous administration of linezolid and other drugs for 9 weeks, she was discharged from hospital on foot. We believe that early surgical intervention should be considered in patients with infective endocarditis in the right heart and subsequent septic pulmonary emboli. Linezolid was very useful in this patient.
机译:一名28岁女性在溃疡性结肠炎强化治疗后的早期,由于化脓性肺栓塞而在三尖瓣内发展了感染性心内膜炎,并出现多发性肺脓肿。病原体是耐甲氧西林的金黄色葡萄球菌。常用抗生素和利奈唑胺治疗。三个星期后,由于进一步的肺栓塞和需要机械循环辅助,她陷入了心肺骤停。首先建议致命的脑损伤。两天后,她完全恢复了意识,并使用机械瓣膜和化脓性肺栓塞摘除了三尖瓣置换术。第二天停止机械循环辅助。经过辛苦服用利奈唑胺和其他药物9周后,她步行出院。我们认为,对于右心感染性心内膜炎和随后的败血性肺栓塞患者,应考虑早期手术干预。利奈唑胺在该患者中非常有用。

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