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2020, Number 2

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Rev Cub Med Mil 2020; 49 (2)

Septic pulmonary and systemic embolisms as form of presentation of infective endocarditis

Vega CR

Language: Spanish
References: 13
Page: 345-351
PDF size: 311.75 Kb.


ABSTRACT

Introduction: Since the 1950s, the classical clinical presentation of infectious endocarditis (E.I) has varied. Due to the use of antibiotics, illicit drugs, venous catheters, traditional manifestations are not frequent.
Objectives: To review the embolic presentation of endocarditis and pecify the preventive measures with the new techniques.
Clinical case: A patient with chronic renal insufficiency, diabetic, hypertensive, with central venous catheter, intense chills, fever of 39.5 ° C, intense headache, general state, severe chest pain, cough, expectoration with bright red blood, dyspnea, holosystolic regurgitant murmur, after a section of hemodialysis. Doppler echocardiogram was performed, visualizing multiple small vegetation's, positive blood cultures to golden staphylococci, treatment according to antibiograms for 6 weeks, at the end of which the extreme severity was resolved.
Comments: Infective endocarditis can have a very different behavior from previous decades; it can appear as an acute fulminating disease due to embolic, septic, multiple manifestations.


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