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臺灣急診醫學會醫誌
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| 篇名 | 以眩暈作為感染性心內膜炎的初次表現 |
|---|---|
| 卷期 | 13:1 |
| 並列篇名 | Afebrile Dizziness as Initial Presentation of Infectious Endocarditis |
| 作者 | 蘇俊郎 、 陳秋媚 、 吳肇鑫 |
| 頁次 | 25-28 |
| 關鍵字 | 感染性心內膜炎 、 合成組織胞漿素原活化劑 、 中風 、 recombinant tissue plasminogen activator 、 stroke 、 infectious endocarditis 、 TSCI |
| 出刊日期 | 201103 |
中文摘要
感染性心內膜炎仍然是全世界都畏懼的感染症。感染性心內膜炎的併發症包括鬱血性心衰竭，多重器官1農瘖，及神經學病變。本文報告一位55歲的男性因為突發性頭暈及視力模糊而前來急診。藉由核磁共振及心臟超音波診斷出感染性心內膜炎導致之中風。病人接受完整的抗生素療程，而其神經學症狀亦逐漸改善。
英文摘要
Infectious endocarditis remains a dreaded infectious disease worldwide. The complications of infectious endocarditis usually consist of congestive heart failure, abscesses in multiple organs, and neurological events. We present a 55-year-old man who presented to the emergency department with a chief complaint of sudden onset dizziness. Acute cerebrovascular accident caused by infectious endocarditis was diagnosed by brain magnetic resonance imaging and echocardiography. The patient received a complete course of antibiotics, and showed gradual improvement of neurological symptoms.