A CLINICAL CASE OF SUCCESSFUL 120-DAY COMPLEX TREATMENT OF INFECTIOUS ENDOCARDITIS OF MITRAL VALVE WITH MIXOMATOUS DEGENERATION COMPLICATED BY CARDIOGENIC AND SEPTIC SHOCK WITH MULTIPLE ORGAN FAILURE
Journal: Journal of the Grodno State Medical University (Vol.22, No. 1)Publication Date: 2024-03-12
Authors : R. E. Yakubtsevich M. S. Dzeshka D. N. Rakashevich P. P. Protasevich I. V. Gavron I. B. Kotlinskaya E. A. Kononenko K. O. Kratkou P. A. Gerasimchik M. S. Stanishevskaja;
Page : 84-92
Keywords : infective endocarditis; echocardiography; shock; antibiotic therapy; cardiac surgery;
Abstract
Annotation. Estimated incidence of infectious endocarditis (IE) is 13.8 cases per 100.000 subjects per year while mortality as high as 0.87 death cases per 100.000 patients demonstrating upstroke trend in majority countries in the world over past 30 years. Imaging positive for IE is among major diagnostic criteria of which transthoracic echocardiography is recommended as the first-line imaging modality in suspected IE. Negative, non-diagnostic or inconclusive results of echocardiography make diagnosis of IE challenging followed by treatment delays and poor outcomes. Within current clinical case we discuss the experience of diagnosis and successful treatment of IE of mitral valve with mixomatous degeneration and rupture of chordae tendineae that challenged vegetations detection and delayed surgical treatment followed by development of complications as cardiogenic and septic shock with multiple organ failure.
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Last modified: 2024-03-12 22:17:22