紧急程度中等
-中度严重
心内膜炎是瓣膜和心腔内层的炎症,称为心内膜。
它是由细菌感染引起的,或很少由病毒或真菌引起。
症状可能突然发生(发烧和心率加快,疲倦)或缓慢(轻度发烧,体重减轻,出汗过多,贫血和皮肤斑点类似于手掌,指甲,植物的雀斑)脚和白色的眼睛)。
通过详细的临床病史,体格检查,心电图,培养血液分析,胸部X光和超声心动图进行诊断。
该治疗基于静脉内抗生素的给药和症状的医学治疗。如果出现严重并发症,可能需要进行手术。
- Daniel J Sexton. Epidemiology, risk factors, and microbiology of infective endocarditis. UpToDate. Oct 29, 2015.
- Daniel J Sexton, Vance G Fowler, Jr. Clinical manifestations and evaluation of adults with suspected native valve endocarditis. UpToDate. Feb 10, 2016.
- Daniel J Sexton. Antimicrobial therapy of native valve endocarditis. UpToDate. Jul 05, 2016.
- Baddour LM, Wilson WR, Bayer AS, et al. Infective Endocarditis in Adults: Diagnosis, Antimicrobial Therapy, and Management of Complications: A Scientific Statement for Healthcare Professionals From the American Heart Association. Circulation 2015; 132:1435.
- Clinical Laboratory Standards Institute. Performance Standards for Susceptibility Testing. Twenty-second informational supplement CLSI document M100-S22, vol 32. Wayne, PA 2012.
- Karchmer AW. Endocarditis infecciosa. Harrison. Manual de Medicina. 16º edición. 390-398.
医生 Elvira Moreno
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