Abstract
摘要
A68-year-oldwomanwithfever,chills,asthenia,nightsweats,arthralgia,weightloss,andnecrotizingskinulcersonthebodyandlowerextremitieswasadmittedtoourdepartment.Shehadbeenfollowedforrheumatoidarthritis(RA)forover20years,andherrheumatoidfactor(RF)levelwasveryhighatadmission.Amonthago,atemporarypacemakerwasappliedtothepatientduetodrug-inducedbradyarrhytmia,butthepacemaker’sleadfracturedandremainedinsidetherightventriclewhileitwasremoved.Revealingthevegetationsonthefracturedleadandtricuspidvalvebyechocardiographyandmethicillin-resistantcoagulase-negativeStaphylococcusaureusinseparatebloodcultures,thetwomajorcriteriaforthediagnosisofinfectiveendocarditis(IE)wasconfirmedto治白癜风长沙哪家医院好贵阳最好的白癜风医院
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