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KMID : 0368119920220020330
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Korean Circulation Journal
1992 Volume.22 No. 2 p.330 ~ p.334
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Splenic Rupture Complicated by Infective Endocarditis
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신준한
임상욱/권혁문/김현승/이연희
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Abstract
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In complication of infective endocarditis. splenomegaly and splenic infarction are not uncommon. but splenic rupture is very rare.
We report a case of splenic rupture complicated by infective endocarditis in 1 71-yr-old man who had been suffered from rheumatic heart disease (aortic regurgitation and stenosis. and mitral regurgitation).
The patient was admitted to mild fever and generalized weakness for 20 days. Diagnosis of infective endocarditis due to Staphylococcus epidermidis was made by clinical manifestaions and blood culture study. On 34th day of admission. the patient
suddenly
displayed the symptoms and signs of massive intraperitoneal hemorrhage. Splenic rupture was revealed by paracentesis and radiologic studies.
Rupture of spleen is an uncommon and usually fatal complication of infective endo endocarditis. Therefore. early diagnosis and prompt treatemtn must be performed.
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KEYWORD
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