배양 음성 심내막염처럼 발생한 심장 침범 베체트병 1예
A Case of Cardiac Behçet’s Disease Mimicking Culture-Negative Infective Endocarditis
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초록
저자들은 척추 골수염과 배양 음성 심내막염으로 진단되었으나 치료 과정에서 비전형적인 임상 경과를 보여 병리 조직 검사 및 영상 자료를 재검토하여 베체트병으로 진단된 증례를 문헌고찰과 함께 보고한다.
Abstract
Behçet’s disease is an inflammatory disorder of unknown etiology with multi-organ involvement. Although it rarely involves the heart, once the heart is involved the results can be devastating. However, since cardiac involvement has various manifestations, diagnosis is challenging. The clinical features and echocardiographic findings of cardiac Behçet’s may mimic culture-negative infective endocarditis. A correct diagnosis is usually made postoperatively. Here, we report the case of a 55-year-old male who was initially diagnosed with infective endocarditis that caused metastatic vertebral osteomyelitis. He underwent immediate cardiac surgery and received empirical antibiotics, but all culture findings were negative; however, he had a sustained fever and elevated inflammatory marker levels. After reviewing the results of pathologic and imaging studies, a final diagnosis of cardiac Behçet’s disease was made. He was successfully treated with a high dose of corticosteroids. This report demonstrates a rare case of cardiac Behçet’s disease mimicking culture-negative infective endocarditis.
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