電子期刊
台灣家庭醫學雜誌
吳亭瑢1 周玉蘭2 謝至同3 盧延洲4 柯澐蓁1,5*
(台灣家醫誌2025; 35: 285-295) DOI: 10.53106/168232812025123504007
關鍵詞：杜克-國際心血管傳染病學會感染性心內膜炎診斷標準、感染性心內膜炎
1臺北市立聯合醫院陽明院區家庭醫學科
2臺北市立聯合醫院陽明院區心臟內科
3臺北市立聯合醫院陽明院區腎臟內科
4臺北市立聯合醫院仁愛院區心臟外科
5輔仁大學醫學系受理日期：114年3月10日 修改日期：114年5月5日 同意刊登：114年5月22日
*通訊作者：柯澐蓁 通訊地址：臺北市士林區雨聲街105號 E-mail：DXO88@tpech.gov.tw
Infective Endocarditis: A Case Report
Ting-Jung Wu1, Yu-Lan Jou2, Jyh-Tong Hsieh3, Yen-Chou Lu4 and Yun-Chen Ko1,5*
Infective endocarditis (IE) is a severe condition caused by microbial infection of the heart'sendocardium. Diagnostic challenges arise primarily from nonspecific symptoms and variableclinical presentations. Clinicians should remain particularly vigilant when managing high-riskpatients presenting fever. This report describes a patient with a history of heart failure, moderateaortic valve regurgitation, and a recent dialysis catheter placement for hemodialysis, who wasultimately diagnosed with IE and underwent aortic valve replacement surgery. Through this case,we review the clinical symptoms of IE and the updated 2023 Duke-International Society forCardiovascular Infectious Diseases criteria, emphasizing the importance of early recognition andtimely intervention to improve patient outcomes. We also offer recommendations for primary carephysicians to help prevent infections in high-risk populations and reduce the incidence of IE.
(Taiwan J Fam Med 2025; 35: 285-295) DOI: 10.53106/168232812025123504007
Key words: Duke–ISCVID (The International Society for Cardiovascular Infectious Diseases)criteria, infective endocarditis
1Department of Family Medicine, Taipei City Hospital, Yangming Branch
2Department of Cardiovascular Medicine, Taipei City Hospital, Yangming Branch
3Department of Nephrology, Taipei City Hospital, Yangming Branch
4Department of Cardiovascular Surgery, Taipei City Hospital, Renai Branch
5School of Medicine, Fu Jen Catholic University
Received: March 10, 2025; Revised: May 5, 2025; Accepted: May 22, 2025.
*Corresponding author