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以不明原因发热为主要表现的感染性心内膜炎的诊治：个案报道及文献复习
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Abstract:
目的：提高对感染性心内膜炎(infective endocarditis, IE)认识程度。方法：对1例不明原因发热为首要症状的IE患者临床特点及诊疗经过进行分析讨论。结果：51岁男性患者，反复发热4月，颈部淋巴结肿痛半月，抗核抗体及类风湿因子阳性，多次复查心脏超声后示主动脉瓣赘生物形成。结论：IE临床表现缺乏特异性，早期诊断有利于病情控制。
Objective: To improve the recognition of infective endocarditis (IE). Method: Analyzed and discussed the clinical characteristics, diagnosis and treatment of a patient with infectious endocarditis (IE) whose primary symptom was unexplained fever. Results: It was observed that a 51-year-old male who experienced recurrent fever for four months, swollen and painful cervical lymph nodes for two weeks, and tested positive for antinuclear antibody and rheumatoid factor. Repeated echocardiography revealed the formation of aortic valve vegetation. Conclusion: IE is an important consideration in the search for the cause of unexplained fever, and early diagnosis is beneficial for disease control.
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