累及多个瓣膜的心内膜炎是一种相对罕见的现象,以及很多关于它的病因,预后,和治疗的最佳做法仍然没有特点。目前,多瓣膜性心内膜炎的治疗与单瓣膜性心内膜炎的治疗相似.然而,有限的数据表明,患者可能从尚未明确定义的不同治疗方法中获益.这里,我们介绍了一个独特的病例,一名22岁的女性,有主动脉缩窄修补术和室间隔缺损(VSD)补片修补术的病史,她在发烧急性发作后到急诊科(ED)就诊。发冷,恶心,呕吐,和腹泻。患者因感染性休克入院ICU,发现并发二尖瓣,三尖瓣,和室间隔缺损补片心内膜炎。我们讨论了她的住院过程和治疗方法以及目前治疗多瓣膜心内膜炎的方法。
Endocarditis involving multiple valves is a relatively rare phenomenon, and much about its etiology, prognosis, and best practices for treatment remains uncharacterized. Currently, the treatment of multiple-valve endocarditis is similar to that of single-valve endocarditis. However, limited data suggest that patients may potentially benefit from different treatment approaches not yet clearly defined. Here, we present a unique case of a 22-year-old female with a history of aortic coarctation repair and a ventricular septal defect (VSD) patch repair who presented to the emergency department (ED) after acute onset of fever, chills, nausea, vomiting, and diarrhea. The patient was admitted to the ICU with septic shock and was found to have concurrent mitral valve, tricuspid valve, and VSD patch endocarditis. We discussed her hospital course and treatment as well as current treatment approaches to multiple-valve endocarditis.