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以肌痛为首发症状的感染性心内膜炎一例并文献复习
作者:姚路路1  邵培培2  王北2  张秦2  施阳2  马丛2  顾文2 
单位:1. 首都医科大学, 北京 100053;
2. 首都医科大学附属北京中医医院 风湿病科, 北京 100010
关键词:肌痛 感染性心内膜炎 毗邻颗粒链球菌 病例报告 
分类号:R542.4
出版年·卷·期(页码):2022·50·第四期(489-494)
摘要:

部分感染性心内膜炎(IE)病例以骨骼关节症状为首发表现,缺乏典型临床特征,并出现多种自身抗体,易误诊为风湿免疫性疾病,给临床诊疗带来困难。本文作者回顾1例以肌痛为首发症状,无明显心脏症状,经血培养及超声心动检查证实为毗邻颗粒链球菌感染导致的IE患者的诊疗过程。通过查阅文献复习IE引起的风湿病症状及自身免疫反应,总结国内营养变异链球菌(NVS)所致IE的临床特点,旨在提高该病的诊疗水平,降低误诊率。

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