DISTINGUISHED CHARACTERISTICS OF INFECTIVE ENDOCARDITIS IN HIV/AIDS AMONG INTRAVENOUS DRUGS ABUSED

<p><strong>The aim</strong> – definition of distinguished characteristics of the right-sided infective endocarditis (IE) inintravenous drugs abused with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS).</p><p><br /><strong>Materia...

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Bibliographic Details
Main Authors: E. Y. Ponomareva, A. A. Roshchina, A. P. Rebrov
Format: Article
Language:Russian
Published: ABV-press 2014-07-01
Series:Klinicist
Subjects:
Online Access:http://klinitsist.abvpress.ru/index.php/Klin/article/view/96
Description
Summary:<p><strong>The aim</strong> – definition of distinguished characteristics of the right-sided infective endocarditis (IE) inintravenous drugs abused with human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS).</p><p><br /><strong>Materials and methods.</strong> The study included 10 patients with right-sided IE in conjunction with HIV/AIDS. All patients were male, age – from 28<br />to 36 years.</p><p><br /><strong>Results.</strong> Course of the IE in HIV/AIDS among intravenous drugs abused in general corresponds to features specific to IE in intravenous drug users without HIV infection. Distinctive features of IE in these patients are a large burden of lung disease, its disseminated character, more tissue oxygenation disorders and marked pulmonary hypertension and haematological disorders (lymphopenia, anemia), and late diagnosis of IE.</p><p><br /><strong>Conclusion.</strong> Features of the current right-sided IE in intravenous drugs abused with HIV/AIDS are distinguished . Difficulties in diagnosis of IE in<br />HIV infection are due to variety of causes of prolonged fever, which should guide doctors to more frequent use of transthoracic echocardiography during prolonged fever in HIV-infected patients.</p>
ISSN:1818-8338