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最近我院从一例亚急性细菌性心内膜炎的血液中分离出干燥奈瑟氏菌,这在国内外文献中甚为少见。现报道如下: 俞××,女,37岁,住院号164088。因不规则发热伴头痛于1982年9月12日急诊入院。患者5岁时曾发生昏厥,经检查有先天性心脏病。23岁参加工作后体力劳动时出现头昏、乏力、心悸。无喉痛、气急及反复昏厥史。25岁在外院诊断为主动脉瓣狭窄,曾间断服用地高辛。其父母为近亲结婚,兄有类似心脏病史。入院检查:体温38.3℃,脉搏108次,血压96/54,轻度贫血貌,营养发育中等,唇及指甲无紫绀,胸腹部皮肤可见散发性瘀点三处。咽充血。心尖搏动位于左锁骨中线第五肋间。主动脉瓣区闻及4级喷射性全收缩期杂音,并可扪及震颤,杂音向胸骨上凹、颈部及胸部右缘传导。第二主动脉瓣区闻及类
Recently our hospital isolated from a blood sample of subacute bacterial endocarditis dry Neisseria, which is rare in the literature at home and abroad. Is now reported as follows: Yu × ×, female, 37 years old, hospital number 164088. Due to irregular fever with headache in September 12, 1982 emergency admission. The patient had a syncope at the age of 5 years and was diagnosed with congenital heart disease. 23 years old after taking part in manual labor appeared dizziness, fatigue, palpitations. No sore throat, shortness of breath and repeated fainting history. 25-year-old outside the hospital diagnosed with aortic stenosis, had intermittent taking digoxin. His parents were married relatives, brothers have a history of similar heart disease. Admission examination: body temperature 38.3 ℃, pulse 108 times, blood pressure 96/54, mild anemia appearance, medium nutritional development, no cyanosis of the lips and nails, chest and abdomen skin visible scattered petechiae three. Pharyngeal congestion. Apex beat in the left intercostal midline fifth intercostal space. Aortic valve area smell and 4 jet full systolic murmur, palpable and tremor, murmur concave on the sternum, neck and chest right conduction. Second aortic valve area smell and class