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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.8 No.2
- 발행연도
- 2021.1
- 수록면
- 145 - 148 (4page)
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Infective endocarditis (IE) is a disease that is rare but potentially fatal and challenging to diagnose. A 28-year-old man with sickle cell trait and a history of intravenous drug use presented with abdominal pain and hematuria mimicking a surgical abdomen. The preliminary diagnosis was cholecystitis or perforated viscus. The chest radiograph was indicative of pulmonary septic emboli. Computed tomography was initially thought to show pyelonephritis, but further review of images revealed renal infarct. The patient was found to have endocarditis which resulted in an embolic renal infarct. The patient recovered remarkably well after 60 days of intravenous antibiotics. This case demonstrates that a surgical abdomen may also be a sign of endocarditis, and multiple imaging studies may be required to confirm the diagnosis. In patients such as intravenous drug users with an increased risk of IE, unexplained flank pain should raise a suspicion of acute renal infarction.
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참고문헌 (13)
참고문헌 신청
Baddour LM / 2015 / Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications: a scientific statement for healthcare professionals from the American Heart Association / Circulation 132:1435~1486
Chahoud J / 2016 / Right-sided infective endocarditis and pulmonary infiltrates : an update / Cardiol Rev 24:230~237
Mylonakis E / 2001 / Infective endocarditis in adults / N Engl J Med 345:1318~1330
Bayer AS / 1998 / Diagnosis and management of infective endocarditis and its complications / Circulation 98:2936~2948
Mendez ML / 2004 / Hepatosplenic and renal embolisms in infective endocarditis / Rev Esp Cardiol 57:1188~1196
Chahoud J / 2016 / Right-sided infective endocarditis and pulmonary infiltrates : an update / Cardiol Rev 24:230~237
Mylonakis E / 2001 / Infective endocarditis in adults / N Engl J Med 345:1318~1330
Bayer AS / 1998 / Diagnosis and management of infective endocarditis and its complications / Circulation 98:2936~2948
Mendez ML / 2004 / Hepatosplenic and renal embolisms in infective endocarditis / Rev Esp Cardiol 57:1188~1196
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