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Ultima descărcare din IBN: 2024-02-13 23:40 |
Căutarea după subiecte similare conform CZU |
616.126-002:[616.98:578.579.841-036.21 (1) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (975) |
Boli transmisibile. Boli infecţionase şi contagioase, stări febrile (585) |
Virologie (443) |
SM ISO690:2012 DUMITRAS, Mariana, GRIB, Carolina, SPĂTARU, Anastasia, PLATON, Daniel, DUMITRAȘCO, Ana-Maria. Infectious endocarditis caused by acinetobacter baumannii in COVID-19. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 216. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.126-002:[616.98:578.579.841-036.21 | ||||||
Pag. 216-216 | ||||||
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Rezumat | ||||||
Background. Acinetobacter baumannii infectious endocarditis (EI) is a very rare complication, described in severe patients undergoing invasive procedures. Solitary cases in the literature have been reported in patients with prosthetic heart valves. The objective of the study. Presentation of a clinical case of infectious endocarditis on native valves, caused by Acinetobacter baumannii, on the background of COVID-19 and type 2 diabetes. Material and methods. Patient X, 62 years old, hospitalized in the Pulmonology Department of „St Trinity” MCH in August 2020 with communityacquired pneumonia of mixed etiology (viral, bacterial), recently discharged from a COVID hospital, where she was treated for 3 weeks, including ICU. Anamnestic, clinical, paraclinical data and research of the literature review. Results. On admission, the patient complained: dyspnea at minimal exertion, desaturation, muco-purulent sputum, hectic fever, sweating, and palpitations. She was diagnosed with diabetes and hypertension 5 years ago. Vitals: HR 96, BP 120/40 mmHg and hepatomegaly. Under the empirically initiated antibacterial treatment with vancomycin and gentamicin, the fever persisted. A. baumannii, sensitive to colistin, was detected in blood cultures. Echocardiographically, we detected third-degree regurgitation and vegetations on the aortic valve. Despite the intensive treatment applied, the evolution of the disease resulted in death, caused by the syndrome of multiple organ failure. Conclusions. This clinical case highlights the severity of nosocomial infectious endocarditis, caused by A. baumannii and the importance of the immunocompromised background of COVID-19 and diabetes, similar data being found in the literature. |
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Cuvinte-cheie endocarditis, Acinetobacter, COVID-19, endocardita infecțioasă, Acinetobacter, Covid19 |
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