The Korean Journal of Medicine

  • 제82권6호
  • /
  • Pages.759-763
  • /
  • 2012
  • /
  • 1738-9364(pISSN)
  • /
  • 2289-0769(eISSN)
대한내과학회 (The Korean Association of Internal Medicine)
권호 표지
DOI QR코드

DOI QR Code

위험인자가 없는 성인에서 발생한 삼첨판 심내막염

Methicillin-Sensitive Staphylococcus Aureus Tricuspid Valve Endocarditis in a Non-Drug-Addicted Patient without Predisposing Factors

  • 박가영 (경북대학교 의학전문대학원 내과학교실) ;
  • 장현하 (경북대학교 의학전문대학원 내과학교실) ;
  • 김신우 (경북대학교 의학전문대학원 내과학교실) ;
  • 김혜인 (경북대학교 의학전문대학원 내과학교실) ;
  • 권유진 (경북대학교 의학전문대학원 내과학교실) ;
  • 김효훈 (경북대학교 의학전문대학원 내과학교실) ;
  • 정주영 (경북대학교 의학전문대학원 내과학교실)
  • Park, Ga-Young (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Chang, Hyun-Ha (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Shin-Woo (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Hye-In (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kwon, Eu-Gene (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Kim, Hyo-Hoon (Department of Internal Medicine, Kyungpook National University School of Medicine) ;
  • Jeong, Ju-Young (Department of Internal Medicine, Kyungpook National University School of Medicine)
  • 발행 : 2012.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

우측 심내막염은 대개 정맥주사 약물 남용이나 심장 질환과 관련되어 발생하는 것으로 알려져 있으며 기저질환 없이 발생하는 경우는 매우 드물다. 저자들은 이러한 기저 질환이 없는 평소 건강하였던 25세 남자에서 발생한 양측 폐의 패혈성 색전폐렴과 우측 주 폐동맥 색전을 합병한 methicillin-sensitive Staphylococus aureus (MSSA)에 의한 삼첨판 심내막염을 진단하여 항생제 치료와 함께 삼첨판 치환술과 폐동맥 색전 제거술을 시행하여 치료한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Staphylococcus aureus is a well-known pathogen involved inright-sided endocarditis with predisposing factors, and the clinical course may be acute and rapidly progressive. Intravenous drug abuse, pacemakers or central vascular catheters, and congenital heart diseases are well-known predisposing factors. However, right-sided endocarditis as a result of S. aureus infection is very rare in patients without these predisposing factors. Here, we report the case of a previously healthy 25-year-old male with native tricuspid valve infective endocarditis by methicillin-sensitive Staphylococcus aureus, complicating multiple septic pneumonia and septic pulmonary artery thrombosis. The patient was treated with antibiotics and surgical thromboembolectomy with tricuspid valve repair.

키워드

참고문헌

  1. Chan P, Ogilby JD, Segal B. Tricuspid valve endocarditis. Am Heart J 1989;117:1140-1146. https://doi.org/10.1016/0002-8703(89)90874-0
  2. Mathura KC, Thapa N, Rauniyar A, Magar A, Gurubacharya DL, Karki DB. Injection drug use and tricuspid valve endocarditis. Kathmandu Univ Med J (KUMJ) 2005;3:84-86.
  3. Naidoo DP. Right-sided endocarditis in the non-drug addict. Postgrad Med J 1993;69:615-620. https://doi.org/10.1136/pgmj.69.814.615
  4. Shimoni Z, Pitlik S, Szyper-Kravitz M, Sagie A, Bishara J. Tricuspid valve endocarditis in adult patients without known predisposing factors. Eur J Clin Microbiol Infect Dis 2001;20:49-51.
  5. Que YA, Moreillon P. Infective endocarditis. Nat Rev Cardiol 2011;8:322-336. https://doi.org/10.1038/nrcardio.2011.43
  6. Castillo JC, Anguita MP, Ruiz M, et al. Changing epidemiology of native valve infective endocarditis. Rev Esp Cardiol 2011;64:594-598. https://doi.org/10.1016/j.recesp.2011.03.011
  7. Oh ES, Rho SY, Kim BJ, et al. A case of tricuspid valve endocarditis with vegetation in a non-drug addict without underlying cardiac disease. Korean Circ J 1998;28:1372- 1377. https://doi.org/10.4070/kcj.1998.28.8.1372
  8. Park PG, Kang SJ, Park KH, et al. A case of tricuspid valve endocarditis with septic pneumonia caused by methicillinresistant Staphylococcus aureus in a healthy woman. Korean J Med 2009;76(Suppl 1):S199-S203.
  9. Nandakumar R, Raju G. Isolated tricuspid valve endocarditis in nonaddicted patients: a diagnostic challenge. Am J Med Sci 1997;314:207-212. https://doi.org/10.1097/00000441-199709000-00011
  10. Robbins MJ, Soeiro R, Frishman WH, Strom JA. Rightsided valvular endocarditis: etiology, diagnosis, and an approach to therapy. Am Heart J 1986;111:128-135. https://doi.org/10.1016/0002-8703(86)90564-8