INFECTIVE ENDOCARDITIS IN DENTAL PRACTICE: A CASE STUDY

Alla Zakroeva, Tat'yana Elovicova, Svetlana Ssablina, Ksenya Dorokhina, Sergey Griroriev, Maria Dominykh, A. Koshchev
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Abstract

Subject. The subject of this case report is infective endocarditis. Objective. The objective is to describe a clinical case under outpatient-polyclinic conditions at the dentist’s (periodontist’s) office. Methodology. Infective endocarditis is one of the most severe coronary vascular diseases associated with high mortality affected by the area and characteristics of infection, the phase of development, the type of a causative agent, the time to start antibacterial therapy, coexisting diseases, the extent of sequelae, surgical treatment and other circumstances. Following the appropriate treatment, more than 70% patients with infective endocarditis achieve recovery. Conclusions. This case report presents clinical manifestations in the oral cavity of a patient with infective endocarditis. The patient did not exhibit specific symptoms of infective endocarditis serving as the basis for the preliminary dental diagnosis and sending the patient to a cardiologist, rheumatologist for examination and treatment. It should be noted that the patient needs the complex treatment of periodontitis, oral cavity sanation, the case follow-up, supportive periodontal therapy and professional oral hygiene on a quarterly basis. These all can significantly improve the patient’s quality of life and longevity.
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牙科诊疗中的感染性心内膜炎:病例研究
主题本病例报告的主题是感染性心内膜炎。 目的。目的是描述在牙医(牙周病医生)诊所门诊患者-诊所条件下的一个临床病例。 方法。感染性心内膜炎是最严重的冠状动脉血管疾病之一,死亡率很高,受感染部位和特点、发展阶段、致病菌类型、开始抗菌治疗的时间、并存疾病、后遗症程度、手术治疗和其他情况的影响。经过适当的治疗,70%以上的感染性心内膜炎患者可以痊愈。 结论。本病例报告介绍了一名感染性心内膜炎患者口腔内的临床表现。患者并没有表现出感染性心内膜炎的特殊症状,这为初步牙科诊断以及将患者送往心脏科和风湿免疫科进行检查和治疗提供了依据。应该指出的是,患者需要接受复杂的牙周炎治疗、口腔卫生、病例随访、支持性牙周治疗和每季度一次的专业口腔卫生。这些都可以大大提高患者的生活质量和寿命。
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