INFECTIVE ENDOCARDITIS IN A RHEUMATOLOGIST’S PRACTICE: ISSUES OF ITS CLINICAL PRESENTATION AND DIAGNOSIS
https://doi.org/10.14412/1995-4484-2015-289-298
Abstract
At present, the problem of infective endocarditis (IE) remains relevant for clinicians of different specialties, including rheumatologists. The distinctive feature of present-day IE is its polyetiological pattern due to a broad spectrum of pathogens. The lecture highlights in detail clinical picture of the disease, laboratory and instrumental findings. It presents current international diagnostic criteria for IE. The obvious clinical polymorphism, subtle symptoms, and monosyndromic onset as masks, all increases the significance of differential diagnosis of IE, in early disease stages in particular. Main approaches to differentiating IE from diseases posing the greatest differentially diagnostic challenges are set forth.
About the Authors
B. S. Belov
V.A. Nasonova Research Institute of Rheumatology, Moscow, Russia; 34A, Kashirskoe Shosse, Moscow 115522
Russian Federation
Russian Federation
G. M. Tarasova
V.A. Nasonova Research Institute of Rheumatology, Moscow, Russia; 34A, Kashirskoe Shosse, Moscow 115522
Russian Federation
Russian Federation
References
1. Habib G, Hoen B, Tornos P, et al. Guidelines on the prevention, diagnosis, and treatment of infective endocarditis (new version 2009): the Task Force on the Prevention, Diagnosis, d Treatment of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) and the International Society of Chemotherapy (ISC) for Infection and Cancer. Eur Heart J. 2009;30(19):2369–413. doi: 10.1093/eurheartj/ehp285
2. Hoen B, Duval X. Infective endocarditis. N Engl J Med. 2013;368(15):1425–33. doi: 10.1056/NEJMcp1206782
3. Morris NA, Matiello M, Lyons JL, Samuels MA. Neurologic complications in infective endocarditis: identification, management, and impact on cardiac surgery. Neurohospitalist. 2014;4(4):213–22. doi: 10.1177/1941874414537077
4. Yu CW, Juan LI, Hsu SC, et al. Role of procalcitonin in the diagnosis of infective endocarditis: a meta-analysis. Am J Emerg Med. 2013;31(6):935–41. doi: 10.1016/j.ajem.2013.03.008
5. Thuny F, Grisoli D, Cautela J, et al. Infective endocarditis: prevention, diagnosis, and management. Can J Cardiol. 2014;30(9):1046–57. doi: 10.1016/j.cjca.2014.03.042
6. Melgar GR, Nasser RM, Gordon SM, et al. Fungal prosthetic valve endocarditis in 16 patients: an 11-year experience in a tertiary care hospital. Medicine. 1997;76(2): 94–103. doi: 10.1097/00005792-199703000-00002
7. Fowler VG, Bayer A. Infective endocarditis. In: Goldman L, Schafer AI, editors. Goldman's Cecil Medicine. 24th ed. Philadelphia: Saunders; 2012. P. 464–73.
8. Bashore TM. Infective endocarditis. In: Otto CM, Bonow RO, editors. Valvular heart disease. 4th ed. Philadelphia: Saunders; 2014. P. 396–419.
9. Faber M, Frimodt-Moller N, Espersen F, et al. Staphylococcus aureus endocarditis in Danish intravenous drug users: high proportion of left-sided endocarditis. Scand J Infect Dis. 1995;27:483–7. doi: 10.3109/00365549509047050
10. Bassetti M, Venturini S, Crapis M, et al. Infective endocarditis in elderly: An Italian prospective multi-center observational study. Int J Cardiol. 2014;177(2):636–8. doi: 10.1016/j.ijcard.2014.09.184
11. Li JS, Sexton DJ, Mick N, et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis. Clin Infect Dis. 2000;30(4):633–8. doi: 10.1086/313753
12. Тарасова ГМ. Инфекционный эндокардит: ревматологические аспекты: Автореф. дис. ... канд. мед. наук. Москва; 2010. 26 с. [Tarasova GM. Infektsionnyy endokardit: revmatologicheskie aspekty: Avtoref. dis. ... kand. med. nauk [Infective endocarditis: rheumatological aspects: Diss. ... cand. med. sci.]. Moscow; 2010. 26 p].
13. Newburger JW, Takahashi M, Gerber MA, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Pediatrics. 2004;114(6):1708–33. doi: 10.1542/peds.2004-2182
14. Сугралиев АБ, Арабидзе ГГ, Насонов ЕЛ и др. Септический эндокардит при неспецифическом аортоартериите. Клиническая медицина. 2003;(1):69–73 [Sugraliev AB, Arabidze GG, Nasonov EL, et al. Bacterial endocarditis in non-specific aortoarteriit. Klinicheskaya meditsina. 2003;(1):69–73 (In Russ.)].
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For citations:
Belov B.S., Tarasova G.M. INFECTIVE ENDOCARDITIS IN A RHEUMATOLOGIST’S PRACTICE: ISSUES OF ITS CLINICAL PRESENTATION AND DIAGNOSIS. Rheumatology Science and Practice. 2015;53(3):289-298. (In Russ.) https://doi.org/10.14412/1995-4484-2015-289-298
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