Left-sided infectious endocarditis in a patient receiving program hemodialysis treatment

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Abstract

Presented in the article clinical observation demonstrates the development of mitral valve infectious endocarditis in a patient receiving program hemodialysis treatment and having had COVID-19 twice. Peculiarities of diagnosis and clinical course, clinical picture, complications, possibilities of therapeutic and cardiac surgical treatment, aspects of dialysis therapy, and the outcome of the disease are discussed.

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About the authors

Elena Yu. Ponomareva

V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia

Author for correspondence.
Email: ponomareva_elena1@mail.ru
ORCID iD: 0000-0001-6187-7525

PhD in Medical Sciences, associate professor of the Department of hospital therapy of the Faculty of general medicine

Russian Federation, Saratov

Dmitry S. Sedov

V.I. Razumovsky Saratov State Medical University of the Ministry of Healthcare of Russia

Email: dr.dmitrii.sedov@gmail.com
ORCID iD: 0000-0003-2260-0958

PhD in Medical Sciences, assistant at the Department of hospital therapy of the Faculty of general medicine

Russian Federation, Saratov

References

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  2. Sadeghi M., Behdad S., Shahsanaei F. Infective endocarditis and its short and long-term prognosis in hemodialysis patients: A systematic review and meta-analysis. Curr Probl Cardiol. 2021; 46(3): 100680. https://dx.doi.org/10.1016/j.cpcardiol.2020.100680.
  3. Bhatia N., Agrawal S., Garg A. et al. Trends and outcomes of infective endocarditis in patients on dialysis. Clin Cardiol. 2017; 40(7): 423–29. https://dx.doi.org/10.1002/clc.22688.
  4. Pericas J.M., Llopis J., Jimenez-Exposito M.J. et al. Infective endocarditis in patients on chronic hemodialysis. J Am Coll Cardiol. 2021; 77(13): 1629–40. https://dx.doi.org/10.1016/j.jacc.2021.02.014.
  5. Yang A., Tan C., Daneman N. et al. Clinical and echocardiographic predictors of embolism in infective endocarditis: Systematic review and meta-analysis. Clin Microbiol Infect. 2019; 25(2): 178–87. https://dx.doi.org/10.1016/j.cmi.2018.08.010.
  6. Demin A.A., Kobalava Zh.D., Skopin I.I. et al. Infectious endocarditis and infection of intracardiac devices in adults. Clinical guidelines 2021. Rossiyskiy kardiologicheskiy zhurnal = Russian Journal of Cardiology. 2022; 27(10): 113–192 (In Russ.). https://dx.doi.org/10.15829/1560-4071-2022-5233. EDN: DCXUXV.
  7. Yu I.C., Chang S.H., Hong H.H. et al. The risk of endocarditis in hemodialysis patients who have undergone invasive dental treatment: A cohort case–control analysis of the Taiwan National Health Insurance Database. Clin Oral Investig. 2023; 27(1): 203–11. https://dx.doi.org/10.1007/s00784-022-04711-7.
  8. Kotova E., Pisaryuk A., Kobalava Z. et al. Infective endocarditis and COVID-19: Analysis of the SARS-Cov-19 infection impact on diagnostic features, course, prognosis. Rossiyskiy kardiologicheskiy zhurnal = Russian Journal of Cardiology. 2023; 28(1): 28–42 (In Russ.). https://dx.doi.org/10.15829/1560-4071-2023-5229. EDN: FHVYGL.
  9. Ponomareva E.Yu., Kosheleva N.A. Combination of infective endocarditis and COVID-19 infection in a young patient. Arkhiv vnutrenney meditsiny = The Russian Archives of Internal Medicine. 2021; 11(4): 297–302 (In Russ.). https://dx.doi.org/10.20514/2226-6704-2021-11-4-297-302. EDN: JZOQTW.

Supplementary files

Supplementary Files
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2. Fig.1. Vegetations on the posterior leaflet of the mitral valve during transthoracic echocardiography in patient N.

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3. Fig.2. On the left - the drooping of the right corner of the mouth in patient N. during examination. Right - cardioembolic lacunar cerebral infarction according to magnetic resonance imaging

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4. Fig.3. Abscess of the posterior leaflet of the mitral valve in patient N. according to transthoracic echocardiography

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5. Fig.4. A - an allergic reaction in patient N. like urticaria against the background of antibiotic therapy (moxifloxacin + clindamycin); B - relief of skin changes during therapy

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