감염심내막염 부검증례 보고 및 문헌고찰
Infective Endocarditis: An Autopsy Case Report with Literature Review
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초록
A 69-year-old man was admitted to the hospital because of flu-like symptoms andfatigue for 2 weeks. Computed tomography revealed ground glass opacity and consolidationin both the lungs as well as pleural effusion. The patient was diagnosed withpneumonia and was hospitalized. At the time of hospitalization, he complained ofshortness of breath and coughed-up blood-tinged sputum. Two days after admission,he died suddenly. An autopsy was performed; cardiomegaly was noted, and furtherexamination revealed that the aortic valve had been destroyed by multiple, irregularvegetations. Herein, we report an autopsy case of infective endocarditis with a reviewof the relevant literatures.
Abstract
A 69-year-old man was admitted to the hospital because of flu-like symptoms andfatigue for 2 weeks. Computed tomography revealed ground glass opacity and consolidationin both the lungs as well as pleural effusion. The patient was diagnosed withpneumonia and was hospitalized. At the time of hospitalization, he complained ofshortness of breath and coughed-up blood-tinged sputum. Two days after admission,he died suddenly. An autopsy was performed; cardiomegaly was noted, and furtherexamination revealed that the aortic valve had been destroyed by multiple, irregularvegetations. Herein, we report an autopsy case of infective endocarditis with a reviewof the relevant literatures.
참고문헌 (8)
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- Mylonakis E, "Infective endocarditis in adults", N Engl J Med, 345, pp.1318~1330 (2001)
- 나주영, "2012년도 법의부검에 대한 통계적 고찰", 대한법의학회지, 37(4), pp.198~207 (2013), 대한법의학회
- Byramji A, "Sudden death as a complication of bacterial endocarditis", Am J Forensic Med Pathol, 32, pp.140~142 (2011)
- Zeller L, "A rare complication of infective endocarditis : left main coronary artery embolization resulting in sudden death", J Heart Valve Dis, 19, pp.225~227 (2010)
- Saad R, "Comparison between clinical and autopsy diagnoses in a cardiology hospital", Heart, 93, pp.1414~1419 (2007)
- Ferna′ndez Guerrero ML, "Infective endocarditis at autopsy : a review of pathologic manifestations and clinical correlates", Medicine, 91, pp.152~164 (2012)
- Cohle SD, "Unexpected death as a result of infective endocarditis", J Forensic Sci, 34, pp.1374~1386 (1989)
