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1. Rapidly progrediating aortic valve infective endocarditis in an intravenous drug user treated by antibiotics and surgery

Creator:
Swedi, Malkia S., Pudil, Radek, and Manďák, Jiří
Format:
braille, text, and regular print
Type:
model:article, article, Text, kazuistiky, práce podpořená grantem, and TEXT
Subject:
akutní nemoc, dospělí, antibakteriální látky--terapeutické užití, aortální chlopeň--chirurgie, aortální insuficience--chirurgie--mikrobiologie--terapie, bakteriální endokarditida--chirurgie--mikrobiologie--terapie, srdce - implantace chlopenních protéz, lidé, mužské pohlaví, kardiogenní šok--etiologie, streptokokové infekce--chirurgie--terapie, intravenózní abúzus drog--komplikace, viridující streptokoky, and mladý dospělý
Language:
English
Description:
We report the case of a 22-year old male, a self-confessed recreational drug user who developed cardiogenic shock because of severe destruction of the aortic valve by rapidly progressive aortic valve endocarditis. The disease progression was acute; in a matter of days, the clinical manifestations were life-threatening necessitating urgent aortic valve replacement surgery. Cultivation revealed Streptococcus viridans as the microbial agent. Subsequent recovery with antibiotic treatment was without complication. This case report shows that immediately performed transoesophageal echocardiography and early consultation with a cardiac surgeon has fundamental importance in diagnosis and management of acute infective endocarditis in haemodynamically instable patients., Malkia S. Swedi, Pudil Radek, Jiří Manďák, and Literatura 17
Rights:
http://creativecommons.org/publicdomain/mark/1.0/ and policy:public