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我院于1987年收治2例感染性心内膜炎病人,分别误诊为病毒性脑炎和缺铁性贫血,1例治愈出院,1例死亡,现报告如下,引以为戒。例1,女,46岁。因头痛、恶心20天,症状加重伴发热、咳脓性痰1周入院。查体:T38.8℃。急性病容,神志清。两下肺可闻及干湿性罗音,心尖部可闻及Ⅱ级收缩期杂音。肝脾(-)。神经系统检查正常。Hb11.98％,WBC 9800/mm~3 N 80％,ESR 60mm/1hr。脑
Two cases of infective endocarditis were admitted to our hospital in 1987 and were misdiagnosed as viral encephalitis and iron deficiency anemia respectively. One patient was cured and discharged, and one patient died. The report is as follows. Example 1, female, 46 years old. Due to headache, nausea 20 days, the symptoms aggravated with fever, purulent sputum 1 week admission. Physical examination: T38.8 ℃. Acute illness, conscious mind. Two lungs can be heard and wet and dry rales, apex can be heard and Ⅱ grade systolic murmur. Liver and spleen (-). Nervous system examination is normal. Hb 11.98%, WBC 9800 / mm ~ 3 N 80%, ESR 60mm / 1hr. brain