지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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We report a case of acute upper limb ischemia suspected to have originated from methicillin-resistant Staphylococcusepidermidis native valve endocarditis in a 57-year-old man who had complained of sudden-onset fever and pain in the right hand.
3D computed tomography of the right upper extremity detected a thrombus occluding the brachial artery. Echocardiographyshowed a large vegetation on the aortic valve. Thus, we suspected, clinically, brachial artery occlusion by septic emboli originatingfrom a large vegetation of the aortic valve. The patient was treated with intravenous antibiotics for the suspectedmethicillin-resistant Staphylococcus epidermidis-native valve endocarditis with a combination of percutaneous aspirationthromboembolectomy and selective intra-arterial thrombolysis for acute thromboembolic occlusion in the right upper limb. Thelarge vegetation of the aortic valve resolved without surgery and aortic regurgitation improved. The patient recovered uneventfullywith no complications, including septic embolism, over the following 11 months.
목차
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참고문헌 (10)
참고문헌 신청
Creager MA / 2012 / Clinical practice: acute limb ischemia / N Engl J Med 366 : 2198 ~ 2206
Deprele C / 2004 / Risk factors for systemic emboli in infective endocarditis / Clin Microbiol Infect 10 : 46 ~ 53
Di Salvo G / 2001 / Echocardiography predicts embolic events in infective endocarditis / J Am Coll Cardiol 37 : 1069 ~ 1076
Dickerman SA / 2007 / The relationship between the initiation of antimicrobial therapy and the incidence of stroke in infective endocarditis: an analysis from the ICE Prospec
Earnshaw JJ / 2004 / National Audit of Thrombolysis for Acute Leg Ischemia (NATALI): clinical factors associated with early outcome / J Vasc Surg 39 : 1018 ~ 1025
Deprele C / 2004 / Risk factors for systemic emboli in infective endocarditis / Clin Microbiol Infect 10 : 46 ~ 53
Di Salvo G / 2001 / Echocardiography predicts embolic events in infective endocarditis / J Am Coll Cardiol 37 : 1069 ~ 1076
Dickerman SA / 2007 / The relationship between the initiation of antimicrobial therapy and the incidence of stroke in infective endocarditis: an analysis from the ICE Prospec
Earnshaw JJ / 2004 / National Audit of Thrombolysis for Acute Leg Ischemia (NATALI): clinical factors associated with early outcome / J Vasc Surg 39 : 1018 ~ 1025
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