| 王鑫,徐彦霞,赵宝珍.羊种布鲁氏菌心内膜炎一例[J].Chinese journal of Epidemiology,2003,24(4):303 |
| 羊种布鲁氏菌心内膜炎一例 |
| One kind of brucella endocarditis sheep |
| Received:November 08, 2002 |
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| Abstract: |
| 患者男性,40岁,农民.一年前牧羊数月后,关节、肌肉反复酸痛,间断发热.2002年10月14日因高热(39.5℃)、胸闷、气短、全身乏力、加重时不能平卧入我院心内科.入院时查体,心率:110次/min;口唇紫绀、杵状指,甲床苍白;叩诊心界向两侧扩大,心尖区闻及舒张期奔马律,主动脉第二听诊可闻及双期杂音;心脏超声显示:主动脉狭窄和中重度主动脉瓣畸形;主动脉和二尖瓣可疑赘生物,提示感染性心内膜炎.3次血培养分离出羊种布鲁氏菌.本例患者有先天性动脉瓣畸形,并有羊接触史,波浪式热型,布鲁氏菌诊断血清效价1∶1 600. |
| English Abstract: |
| Male patients, 40, farmer. Sheep after a few months a year ago, joint and muscle soreness, repeatedly intermittent fever. On October 14, 2002, due to the high fever (39.5 ℃), chest tightness, shortness of breath, fatigue, increase cannot lay down into our heart medicine. On physical examination, the heart rate: 110 times/min;Oral violet purple, clubbing, nail bed pale;Percussion heart bounded on both sides to expand, and diastolic gallop, apex area at the aortic second auscultation audible and double phase noise;Echocardiogram showed that aortic stenosis and moderately severe aortic malformation;Aortic and mitral valve suspicious vegetations, hints of infective endocarditis. 3 blood cultures of brucella isolated sheep. The patients with congenital artery flap of deformity, and contact with sheep, heat wave type, brucella diagnostic serum titer of 1:1, 600. |
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