A case of acute infective endocarditis and septic shock
Infective endocarditis (IE) marks an increasing morbidity and unchanged mortality despite advances in its diagnosis and treatment. In about 20% of IE cases are acute, with signs of sepsis and septic shock. Septic shock dramatically worsens prognosis and is an independent predictor of in &nda...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | Bulgarian |
| Published: |
Pensoft Publishers
2023-07-01
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| Series: | Българска кардиология |
| Subjects: | |
| Online Access: | https://journal.bgcardio.org/article/105978/download/pdf/ |
| _version_ | 1797425953889058816 |
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| author | B. Dobreva-Yatseva F. Nikolov R. Raycheva K. Stanev N. Ivanova P. Nikolov M. Tokmakova |
| author_facet | B. Dobreva-Yatseva F. Nikolov R. Raycheva K. Stanev N. Ivanova P. Nikolov M. Tokmakova |
| author_sort | B. Dobreva-Yatseva |
| collection | DOAJ |
| description | Infective endocarditis (IE) marks an increasing morbidity and unchanged mortality despite advances in its diagnosis and treatment. In about 20% of IE cases are acute, with signs of sepsis and septic shock. Septic shock dramatically worsens prognosis and is an independent predictor of in – hospital death. Timely diagnosis and urgent surgical intervention can improve survival in these patients. We present a case of a 47-year-old man, with no history of past or concomitant diseases, who was admitted as an emergency to the Cardiology Intensive Care Unit, during the COVID-19 pandemic, with pronounced febrile-intoxication syndrome, shortness of breath, precordial discomfort and pain, cough, haemoptysis. From laboratory studies with a pronounced infl ammatory constellation, troponin I and D-dimers are also increased. This case shows the diffi culties in the diagnosis of acute IE, the specifi cs in the clinical course of the disease, as well as the importance of urgent surgical intervention to improve survival. |
| first_indexed | 2024-03-09T08:23:24Z |
| format | Article |
| id | doaj.art-298a4fdde5ff40a9a9ee7169590157a4 |
| institution | Directory Open Access Journal |
| issn | 2683-1015 |
| language | Bulgarian |
| last_indexed | 2024-03-09T08:23:24Z |
| publishDate | 2023-07-01 |
| publisher | Pensoft Publishers |
| record_format | Article |
| series | Българска кардиология |
| spelling | doaj.art-298a4fdde5ff40a9a9ee7169590157a42023-12-02T21:36:47ZbulPensoft PublishersБългарска кардиология2683-10152023-07-01292677510.3897/bgcardio.29.e105978105978A case of acute infective endocarditis and septic shockB. Dobreva-Yatseva0F. Nikolov1R. Raycheva2K. Stanev3N. Ivanova4P. Nikolov5M. Tokmakova6UMHAT Sv. GeorgiUMHAT Sv. GeorgiMedical University of PlovdivUMHAT Sv. GeorgiMedical University of PlovdivUMHAT Sv. GeorgiUMHAT Sv. GeorgiInfective endocarditis (IE) marks an increasing morbidity and unchanged mortality despite advances in its diagnosis and treatment. In about 20% of IE cases are acute, with signs of sepsis and septic shock. Septic shock dramatically worsens prognosis and is an independent predictor of in – hospital death. Timely diagnosis and urgent surgical intervention can improve survival in these patients. We present a case of a 47-year-old man, with no history of past or concomitant diseases, who was admitted as an emergency to the Cardiology Intensive Care Unit, during the COVID-19 pandemic, with pronounced febrile-intoxication syndrome, shortness of breath, precordial discomfort and pain, cough, haemoptysis. From laboratory studies with a pronounced infl ammatory constellation, troponin I and D-dimers are also increased. This case shows the diffi culties in the diagnosis of acute IE, the specifi cs in the clinical course of the disease, as well as the importance of urgent surgical intervention to improve survival.https://journal.bgcardio.org/article/105978/download/pdf/acute infective endocarditisseptic shockearly |
| spellingShingle | B. Dobreva-Yatseva F. Nikolov R. Raycheva K. Stanev N. Ivanova P. Nikolov M. Tokmakova A case of acute infective endocarditis and septic shock Българска кардиология acute infective endocarditis septic shock early |
| title | A case of acute infective endocarditis and septic shock |
| title_full | A case of acute infective endocarditis and septic shock |
| title_fullStr | A case of acute infective endocarditis and septic shock |
| title_full_unstemmed | A case of acute infective endocarditis and septic shock |
| title_short | A case of acute infective endocarditis and septic shock |
| title_sort | case of acute infective endocarditis and septic shock |
| topic | acute infective endocarditis septic shock early |
| url | https://journal.bgcardio.org/article/105978/download/pdf/ |
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