Clinical course and solution of infectious endocarditis

Abstract

Infectious endocarditis is a world spread, life-threatening disease characterized by high morbidity and mortality. The aim of the study was to study the epidemiology, clinical course and outcome of infectious endocarditis according to the data of infectious diseases and AIDS center. 42 patients were hospitalized with a diagnosis of infectious endocarditis in 2017-2019yy. In all patients, the onset of the disease was acute, with chills, increasing temperature, 38-390C. Frequent were the pain and swelling of the big joints. Laboratory data indicated hypochromic anemia, elevated bands, ESR and CRP levels. Bacterial culture was obtained in 20 cases (streptococci and staphylococci). 41 patients underwent transesophageal echocardiography. The most common infection was on the aortic valve - 24 patients, mitral 10 patients and tricuspid 8 patients. The most common complication was a renal failure 18 patients, cardiovascular failure 10, arterial emboli - 8 patients. After treatment, 38 patients were discharged in improved condition, 2 patients were transferred to a multi-profile clinic due to severity.