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作者报告了两例主诉颞部痛性小结,经活检为亚急性细菌性心内膜炎并发颞动脉炎和B抗原性肝炎性颞动脉炎.病例1、男、63岁,诊为二尖瓣和主动脉瓣狭窄9个月后曾发生过一过性黑朦.牙齿术后五天,右颞上方出现一痛性小结和右眼视力模糊.体温38.7℃,脉搏90次/分、血压140/60毫米汞柱,右颞部触及一波动性和痛性小硬结,右视网膜出血.ESR39mm/一小时.强的松治疗的次日,左颞部又出现一痛性小结.曾进了右侧颞动脉的活检.血培养变异型链球菌.继经适当治疗后,左颞部小结变
The authors report two cases of temporal pain-related nodules, biopsied by subacute bacterial endocarditis with temporal arteritis and B-antigen-induced chronic temporal arteritis. Case 1, male, 63 years old, diagnosed with mitral valve And aortic stenosis after 9 months had a transient darkness .Tooth after five days, the right temporal top of a painful nodules and right eye blurred vision .Body temperature 38.7 ℃, pulse 90 beats / min, blood pressure 140 / 60 mm Hg, the right temporal touching a volatile and painful small induration, right retinal hemorrhage .ESR39mm / one hour .After the treatment of prednisone, the left temporal and there is a painful nodules. Lateral temporal artery biopsy. Streptococcus mutans blood culture. Following appropriate treatment, the left temporal tuberculosis