Endocardita infecţioasă cu debut neurologic

Soroceanu Ala; Grib Liviu; Grejdieru Alexandra; Zavatin Galina; Abraş Marcel; Soroceanu Sergiu; Vorojbit Valentina; Ceaichişciuc Victor; Toncoglaz Oleg; Rotari Olga; Cardaniuc Irina; Sănduță Carolina; Danilov Natalia; Danilov Anatolie; Nani Anastasia; Martîn Cristina

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2024-03-05 14:20

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616.126-002:[616.831-005.1-07-089 (1)

Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (975)

Neurologie. Neuropatologie. Sistem nervos (971)

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SOROCEANU, Ala, GRIB, Liviu, GREJDIERU, Alexandra, ZAVATIN, Galina, ABRAŞ, Marcel, SOROCEANU, Sergiu, VOROJBIT, Valentina, CEAICHIŞCIUC, Victor, TONCOGLAZ, Oleg, ROTARI, Olga, CARDANIUC, Irina, SĂNDUȚĂ, Carolina, DANILOV, Natalia, DANILOV, Anatolie, NANI, Anastasia, MARTÎN, Cristina. Endocardita infecţioasă cu debut neurologic. In: Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale, 2016, nr. 2(51), pp. 223-227. ISSN 1857-0011.

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Buletinul Academiei de Ştiinţe a Moldovei. Ştiinţe Medicale

Numărul 2(51) / 2016 / ISSN 1857-0011

Endocardita infecţioasă cu debut neurologic

CZU: 616.126-002:[616.831-005.1-07-089

Pag. 223-227

Soroceanu Ala¹, Grib Liviu¹, Grejdieru Alexandra¹, Zavatin Galina², Abraş Marcel¹, Soroceanu Sergiu³, Vorojbit Valentina¹, Ceaichişciuc Victor², Toncoglaz Oleg², Rotari Olga¹, Cardaniuc Irina², Sănduță Carolina², Danilov Natalia⁴, Danilov Anatolie⁴, Nani Anastasia⁴, Martîn Cristina¹

¹ Universitatea de Stat de Medicină şi Farmacie „Nicolae Testemiţanu“,
² Spitalul Clinic Municipal „Sfânta Treime”,
³ Spitalul militar al Ministerului de Interne al RM,
⁴ Universitatea de Medicină şi Farmacie „Iuliu Haţieganu“

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Disponibil în IBN: 5 ianuarie 2017

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Prezentăm cazul unui adult în vârstă de 46 ani, nefumător, care se internează în context febril și alterarea stării generale. Diagnosticul confirmat anterior la examenul ecocardiografic prin prezența vegetațiilor de dimensiuni mari pe valva mitrală și valva aortică, iar agentul etiologic nedepistat la hemoculturi repetate, a fost multidrug-rezistent. Pe parcursul spitalizării și al tratamentului, persistă simptomatologia de endocardită infecțioasă, ce culminează cu insuficiență cardiacă avansată. Particularitățile cazului constau în: a) debutul endocarditei prin embolie cerebrală b) rezistența înaltă a agentului patogen.

We present the case of an adult aged 46, smoker, who is hospitalized in febrile context and impaired general condition. The diagnosis confirmed by echocardiography prior to the presence of large vegetations on the mitral valve and aortic valve and the etiologic agent undetected repeated blood cultures, were multidrug resistant. During hospitalization and treatment of infective endocarditis symptoms persist, culminating with advanced heart failure. Particularities of the case are: a) endocarditis with cerebral embolism onset b) high resistance to the pathogen agent.

Мы представляем клинический случай пациента в возрасте 46 лет, курильщик, который госпитализирован с продолжительной температурой и общим недомоганием. Ранее диагноз был подтвержден с помощью эхокардиографии - наличие больших вегетаций на митральном клапане и клапане аорты. Бактерии, необнаруженные при повторных гемокультурах, обладали множественной лекарственной устойчивостью. На протяжении госпитализации и лечения, симптомы инфекционного эндокардита сохранялись, которые впоследствии привели к тяжелой сердечной недостаточности. Особенности случая: а) дебют эндокардита с церебральной эмболии б) высокая устойчивость возбудителя.

Cuvinte-cheie
endocardita infecțioasă multidrug rezistentă, vegetații de dimensiuni mari,

accidentul vascular cerebral

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<given_name>Natalia</given_name>
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