Abstract:
Introduction.
Early prosthetic valve endocarditis is acquired within a year
of the valve replacement surgery and is considered to be an
extremely severe form. According to literature, its
prevalence is 20% and it evolves with serious complications.
Results.
The patient complains: fever, palpitations, fatigue. Replacement of the aortic valve with a mechanical prosthesis, abscess
drainage of the Ao caused by endocarditis, performed in December 2021. Objective data: pale skin, prosthetic valve noise,
systolic murmur at the apex and diastolic at the Ao, HR 100 b/min. Streptococcus gallolyticus was isolated from the blood
cultures. Paraclinical: anemia, leukocytosis, thrombocytopenia, increased ESR. Echocardiography: dysfunction of the aortic
prosthetic valve with regurgitation and mitral valve vegetation. Combination antibiotic therapy, antifungals, anticoagulants
with the decision of emergency surgery.
Purpose.
We present the clinical case of the patient with early
prosthetic valve endocarditis in active form, with
dysfunction of aortic prosthesis and mitral valve vegetations,
trigger Streptococcus gallolyticus.
Material and methods.
Patient C. with the age of 33 was hospitalized in the
cardiology department of SCM Holy Trinity with the
diagnosis of early prosthetic valve IE, active form. The
patient was evaluated clinically and paraclinically.
Conclusions.
This clinical case reveals that the early recurrence of
prosthetic valve endocarditis is a severe complication of the
disease, with a high death rate. Timely diagnosis and
emergency surgical correction lead to a favorable prognosis.
