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616.126-002-022.7-071 (1) |
Патология сердечно-сосудистой системы. Сердечно-сосудистые заболевания (1025) |
SM ISO690:2012 SPATARI, Anastasia, RUSU, Adriana, DUMITRAS, Mariana, BULMAGĂ, Daniela, GRIB, Carolina, DUMITRAȘCO, Ana-Maria. Early prosthetic valve endocarditis, clinical case. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 183. 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: 616.126-002-022.7-071 | ||||||
Pag. 183-183 | ||||||
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Background. Early prosthetic valve endocarditis is acquired within a year of the valve replacement surgery and is considered an extremely severe form. According to literature, its prevalence is 20% and it evolves with serious complications. Objective of the study. We present the clinical case of the patient with early prosthetic valve endocarditis in active form with dysfunction of aortic prosthesis and mitral valve vegetation, caused by Streptococcus gallolyticus. Material and Methods. Patient C. with the age of 33 was hospitalized in the cardiology department of MCH „St Trinity” with the diagnosis of early prosthetic valve endocarditis, active form. The patient was evaluated clinically and paraclinically, the results according to the literature data. Results. The patient complains: fever, palpitations, fatigue. Replacement of the aortic valve with a mechanical prosthesis, abscess drainage of the Ao caused by endocarditis, performed in December 2021. Objective data: pale skin, prosthetic valve noise, systolic murmur at the apex and diastolic at the Ao, HR 100 b/min, BP 120/60 mmHg. Streptococcus gallolyticus was isolated from the blood cultures. Paraclinical: anemia, leukocytosis, thrombocytopenia, increased ESR, serum creatinine, and urea. Echocardiography: dysfunction of the aortic prosthetic valve with regurgitation and mitral valve vegetation. Combination antibiotic therapy, antifungals, anticoagulants with the decision of emergency surgery. Conclusion. This clinical case reveals that the early recurrence of prosthetic valve endocarditis is a severe complication of the disease, with a high death rate. Timely diagnosis and emergency surgical correction lead to a favorable prognosis. |
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Cuvinte-cheie Infective endocarditis, prosthetic heart valve, Streptococcus gallolyticus, endocardita infecțioasă, proteză valvulară, Streptococcus gallolyticus |
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