CLINICAL CASE OF INFECTIVE ENDOCARDITIS IN IV DRUG ABUSER
Infective endocarditis in intravenous drug abuser is reviewed on the example of clinical case. Clinical examination, the clinical diagnosis, recommendations for surgical treatment, choice of optimal therapy are outlined in patient with infective endocarditis. The features of infective endocarditis in IV drug abused patients were studied. There were no significant changes in clinical and microbiologic picture of IE in IVDA during years. As usually, the most frequent area of infection in this type of patients is the tricuspidvalve, the disease prognosis is relatively good and S. aureus is the main etiologic agent. In regard that patients with a history of IE are at risk of recurrent infection, must be very strictly developed and introduced in practice re-infection preventive measures. At discharge, patients should be informed and clearly explained about all signs and symptoms of IE, to help them be aware of possible repeated episode of IE. Patient should understand, that in case of appearance a new fever or chills, or other infection’s signs, appropriate testing, including microbiological ones before antibacterial treatment prescription should be requested.
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