Mi SciELO
Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
Links relacionados
- Similares en SciELO
Compartir
Revista Cubana de Medicina Militar
versión impresa ISSN 0138-6557versión On-line ISSN 1561-3046
Resumen
VEGA CANDELARIO, Rodolfo. Septic pulmonary and systemic embolisms as form of presentation of infective endocarditis. Rev Cub Med Mil [online]. 2020, vol.49, n.2, e292. Epub 01-Jun-2020. ISSN 0138-6557.
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.
Palabras clave : infectious endocarditis; septic embolisms, doppler echocardiography; blood cultures.