已入深夜,您辛苦了!由于当前在线用户较少,发布求助请尽量完整的填写文献信息,科研通机器人24小时在线,伴您度过漫漫科研夜!祝你早点完成任务,早点休息,好梦!

Diagnostic Approach to Recurrent Intracardiac Masses That Present With Systemic Symptoms

医学 心内注射 心内膜炎 心导管术 放射科 病因学 心室 外科 内科学
作者
Seidl Ro,Sassan Hashemi,Fawwaz Shaw,Timothy Slesnick
出处
期刊:Pediatrics [American Academy of Pediatrics]
卷期号:152 (5)
标识
DOI:10.1542/peds.2023-062122
摘要

Cardiac masses are difficult to diagnose in the pediatric population, especially in the setting of systemic symptoms. Although multiple imaging modalities are available to characterize cardiac masses, it is important to consider a different diagnostic approach in the setting of recurrent cardiac masses and nonspecific systemic symptoms. We present a case involving a previously healthy adolescent with multiple hospitalizations because of persistent fevers, cachexia, and recurrent cardiac masses. Echocardiography and cardiac computed tomography imaging suggested endocarditis, but the patient failed to respond to multiple intravenous antibiotic treatments. He developed recurrent cardiac masses in the right atrium and right ventricle that were debulked and biopsied. The biopsy did not yield a conclusive diagnosis. The patient returned to the hospital with hemoptysis and large pulmonary pseudoaneurysms that had to be occluded during cardiac catheterization. Given his constellation of symptoms and improvement with steroids during surgical procedures, he was ultimately diagnosed with a variant of Behcet's disease known as Hughes-Stovin syndrome. His symptoms resolved completely with steroids and immunosuppression therapy. Our report reveals the limitations of the standard diagnostic approach toward cardiac masses and the importance of considering response to treatment as a clue to the etiology of an unusual cardiac mass.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
1秒前
zwz完成签到,获得积分10
2秒前
2秒前
2秒前
隆咚锵发布了新的文献求助10
3秒前
3秒前
zy发布了新的文献求助10
5秒前
5秒前
科研通AI2S应助QI采纳,获得10
7秒前
sorawing发布了新的文献求助10
7秒前
8秒前
王大爷完成签到,获得积分10
8秒前
大个应助科研通管家采纳,获得10
8秒前
善良夜梅应助科研通管家采纳,获得10
8秒前
8秒前
华仔应助科研通管家采纳,获得10
9秒前
在水一方应助科研通管家采纳,获得30
9秒前
9秒前
传奇3应助科研通管家采纳,获得10
9秒前
yuyu完成签到,获得积分10
10秒前
自觉瑾瑜完成签到,获得积分20
11秒前
王大爷发布了新的文献求助10
11秒前
热情的橘子完成签到,获得积分20
12秒前
sorawing完成签到,获得积分10
13秒前
可爱的函函应助木子采纳,获得10
15秒前
顾矜应助zy采纳,获得10
16秒前
17秒前
大头完成签到 ,获得积分10
21秒前
Stata@R发布了新的文献求助10
23秒前
25秒前
moyu123完成签到,获得积分10
26秒前
852应助ni采纳,获得10
32秒前
34秒前
34秒前
沉默的晓旋完成签到,获得积分10
35秒前
36秒前
pluto应助跳跃寄风采纳,获得10
37秒前
37秒前
yue完成签到 ,获得积分10
38秒前
高分求助中
The late Devonian Standard Conodont Zonation 2000
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Very-high-order BVD Schemes Using β-variable THINC Method 870
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
A new species of Coccus (Homoptera: Coccoidea) from Malawi 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3256707
求助须知:如何正确求助?哪些是违规求助? 2898841
关于积分的说明 8302766
捐赠科研通 2568039
什么是DOI,文献DOI怎么找? 1394855
科研通“疑难数据库(出版商)”最低求助积分说明 652913
邀请新用户注册赠送积分活动 630631