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男性,52岁,住院号144023,于1979年6月8日入院。1975年,患者因低热而被发现有心脏杂音。1978年11月起有不规则发热和心脏扩大。1979年4月起出现心功能不全.血培养两次得革兰氏阳性杆菌,一次为赫夫尼亚杆菌,均认为是“污染”,未被重视。体检:腋温37.8℃,血压140/60毫米汞柱。巩膜无黄染,皮肤无瘀点。颈静脉充盈,肝颈返流征阳性。心界向左下扩大,心律齐,心率96次/分。心尖区有Ⅰ～Ⅱ级吹风样全收缩期杂音和Ⅱ级舒张
Male, 52 years old, hospital ad 144023, was admitted to hospital on June 8, 1979. In 1975, the patient was found to have heart murmur due to fever. November 1978 irregular fever and heart enlargement. Heart failure occurred in April 1979. Gram-positive bacilli were obtained twice in a blood culture, once as Herbobacillus, both considered “contaminated” and not taken seriously. Physical examination: axillary temperature 37.8 ℃, blood pressure 140/60 mm Hg. Sclera no yellow dye, skin petechia. Jugular vein filling, liver reflux sign positive. Heart widens to the left, heart rate Qi, heart rate 96 beats / min. Apex area Ⅰ ~ Ⅱ hair-like systolic murmur and Ⅱ-level relaxation