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北京什么白癜风医院好皮肤病治疗医院哪家好