Difficulties in the diagnosis of infectious endocarditive in adolescents (clinical case)

Abstract

Infectious endocarditis – infectious, systemic inflammation of the bacterial nature, with the initial lesion of the valves or artificial materials used to correct heart disease, as well as the parietal endocardium and endothelium of the main vessels adjacent to the heart. Currently, in pediatric cardiology practice, the frequency of primary infectious endocarditis, occurring with a change in the clinical picture, with atypical variants and with an increase in the proportion of the causative agent resistant to antibacterial therapy, has increased. The aim of the work was to familiarize doctors (pediatricians, family doctors, pediatric cardiologists, infectious disease specialists, dermatologists, etc.) with the case of late diagnosis of infectious endocarditis in adolescents. The paper presents the literature data and own observation of a patient with infectious endocarditis. The case of the atypical clinical course of the disease, which caused the prolongation of the pathological process verification, is described. Traumatization of the elements in acne of the child was considered as a causal factor of the disease, the timely recognition of which depended on the prognosis and outcome of the disease. Ключевые слова: инфекционный эндокардит, кожные проявления, дети.