An Ineffective Differential Diagnosis of Infective Endocarditis and Rheumatic Heart Disease after Streptococcal Skin and Soft Tissue Infection
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- Mawatari Momoko
- Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan Infection Control and Prevention Center, Gunma University Hospital, Japan
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- Suzuki Tetsuya
- Department of Internal Medicine, Nerima Hikarigaoka Hospital, Japan Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
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- Iizuka Toshihiko
- Department of Diagnostic Pathology, National Center for Global Health and Medicine, Japan
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- Amano Tatsuya
- Department of Cardiology, New Tokyo Hospital, Japan
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- Fujiya Yoshihiro
- Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
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- Kutsuna Satoshi
- Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
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- Ohmagari Norio
- Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
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- Takeshita Nozomi
- Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
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- Hayakawa Kayoko
- Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
書誌事項
- 公開日
- 2017
- 資源種別
- journal article
- DOI
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- 10.2169/internalmedicine.8411-16
- 公開者
- 一般社団法人 日本内科学会
この論文をさがす
説明
<p>We herein report the case of a 68-year-old woman with a skin and soft tissue infection at her extremities. The blood culture results were positive for Streptococcus pyogenes, and we started treatment using ampicillin and clindamycin, although subsequent auscultation revealed a new-onset heart murmur. We therefore suspected rheumatic heart disease and infective endocarditis. The case met both the Jones criteria and the modified Duke criteria. Transesophageal echocardiography revealed vegetation on the aortic valve, although the pathological findings were also compatible with both rheumatic heart disease and infective endocarditis. The present findings suggest that these two diseases can coexist in some cases. </p>
収録刊行物
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- Internal Medicine
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Internal Medicine 56 (17), 2361-2365, 2017
一般社団法人 日本内科学会
