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布氏杆菌心内膜炎是布氏杆菌病罕见但常致命的并发症,本文报告1例布氏杆菌心内膜炎患者经10周的杀菌治疗和切除感染的主动脉瓣膜而获痊愈。患者系32岁男性,起病缓慢,于2个月中反复发作畏寒、发热、盗汗、严重肌痛伴脾肿大,病程中曾接受强的松和抗菌素短程治疗。入院时患者呈衰竭状,体温39℃,血压90/50mmHg,颈静脉扩张,两肺底啰音,整个心前区有Ⅲ级收缩期杂音且伴第三心音,胸骨左缘下端有Ⅱ级舒张期杂音,脾肋缘下3cm
Brucella endocarditis is a rare but often fatal complication of brucellosis. This article reports 1 patient with brucellosis endocarditis cured by 10 weeks of sterilization and resection of the infected aortic valve. The patient was a 32-year-old male with a slow onset and recurrent chills, fever, night sweats and severe myalgia with splenomegaly over 2 months. Had received prednisone and antibiotic brachytherapy during the course of his illness. At admission, the patient presented with exhaustive state of body temperature 39 ℃, blood pressure 90 / 50mmHg, jugular vein dilatation, pulmonary rales at the end of the lung, grade Ⅲ systolic murmur accompanied by third heart sound in the precordial area, grade Ⅱ diastole Period murmur, spleen under the edge of 3cm