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Rapidly progrediating aortic valve infective endocarditis in an intravenous drug user treated by antibiotics and surgery
Malkia S. Swedi, Pudil Radek, Jiří Manďák
Language English Country Czech Republic
Document type Case Reports, Research Support, Non-U.S. Gov't
Digital library NLK
Full text - Article
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NLK
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- MeSH
- Acute Disease MeSH
- Anti-Bacterial Agents therapeutic use MeSH
- Aortic Valve surgery MeSH
- Aortic Valve Insufficiency surgery microbiology therapy MeSH
- Endocarditis, Bacterial surgery microbiology therapy MeSH
- Heart Valve Prosthesis Implantation MeSH
- Adult MeSH
- Substance Abuse, Intravenous complications MeSH
- Shock, Cardiogenic etiology MeSH
- Humans MeSH
- Young Adult MeSH
- Streptococcal Infections surgery therapy MeSH
- Viridans Streptococci MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
- Research Support, Non-U.S. Gov't MeSH
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.
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Literatura
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