Acute ischemia of the lower limb in a patient with infective endocarditis under the mask of coronavirus infection
https://doi.org/10.24884/0042-4625-2021-180-4-95-98
Abstract
Despite the fact that significant success has been achieved in the treatment of patients with infective endocarditis (IE), difficulties in clinical practice arise in the diagnosis of this disease. The article analyzes a clinical case of successful treatment of a patient with acute ischemia of the lower extremity due to thromboembolic syndrome in IE, the diagnosis of which was initially regarded as COVID-19. The clinical case occurred during the coronavirus infection (COVID-19) pandemic, and all patients who initially complained of fever were regarded as potentially infected, which, with insufficient examination, masked the clinical picture of infective endocarditis.
About the Authors
I. P. Mikhaylov
Sklifosovsky Research Institute for Medical Care
Mikhaylov Igor P., Dr. of Sci. (Med.), Professor, Scientific of the Department of Vascular Surgery
Moscow
V. A. Arustamyan
Sklifosovsky Research Institute for Medical Care
Russian Federation
Russian Federation
Arustamyan Vladislav A., Cardiovascular Surgeon of the Department of Vascular Surgery
Moscow
B. V. Kozlovskij
Sklifosovsky Research Institute for Medical Care
Kozlovskij Boris V., Cardiovascular Surgeon of the Department of Vascular Surgery
Moscow
E. V. Kungurcev
Sklifosovsky Research Institute for Medical Care
Kungurcev Evgenij V., Dr. of Sci. (Med.), Senior Research Fellow of the Department of Vascular Surgery
Moscow
References
1. Davies B., Braithwaite B. D., Birch P. A., Poskitt K. R., Heather B. P., Earnshaw J. J. Acute leg ischaemia in Gloucestershire // Br J Surg. 1997;84(4):504–508.
2. Nakayama D. K., O’Neill J. A., Wagner H., Cooper A., Dean R. H. Management of vascular complications of bacterial endocarditis // J Pediatr Surg. 1986;21(7):636–639.
3. Sabe M. A., Shrestha N. K., Menon V. Contemporary drug treatment of infective endocarditis // Am J Cardiovasc Drugs. 2013;13(4):251–258.
4. Horstkotte D., Piper C. New aspects of infective endocarditis // Minerva Cardioangiol. 2004;52(4):273–286.
5. Tjurin V. P. Infekcionnye jendokardity.Moscow, GOJeTAR-MED, 2002:224. (In Russ.).
6. Cabell C. H., Jollis J. G., Peterson G. E., Corey G. R., Anderson D. J., Sexton D. J. Christopher W. Woods, Barth L. R., Ryan T., Fowler V. G. Jr. Changing patient characteristics and the effect on mortality in endocarditis// Arch Intern Med. 2002;162(1):90–94.
7. Taranova M. V., Androsova T. V., Kozlovskaja L. V., Strizhakov L. A., Lebedeva M. V., Milovanova L. Ju., Muhin N. A. Prognosticheskoe znachenie trombojembolicheskih oslozhnenij pri infekcionnom jendokardite, vozmozhnosti profilaktiki // Klinicheskaja medicina. 2018;96(2):129–136. (In Russ).
8. Dickerman S. A., Abrutyn E., Barsic B., Bouza E., Cecchi E., MorenoA., Doco-Lecompte T., Eisen D. P., Fortes C. Q., Fowler V. G. Jr., Lerakis S., Miro J. M., Pappas P., Peterson G. E., Rubinstein E., Daniel J. Sexton D. J., Suter F., Tornos P., Verhagen D. W., Cabellet C. H. The relationship between the initiation of antimicrobial therapy and the incidence of stroke in infective endocarditis: an analysis from the ICE Prospective Cohort Study (ICE-PCS) // Am Heart J. 2007;154(6):1086–1094.
9. Bor D. H., Woolhander S., Nardin R., Brusch J., Himmelstein D. U. Infective endocarditis in the U.S., 1998-2009: a nationwide study // PLoS One. 2013;8(3):R.e60033.
10. Tyurin V. P., Shevchenko Yu. L. Infective endocarditis [Infektsionnye endokardity]. Moscow, GEOTAR-Media, 2012. (In Russ.).
11. The Centers for Disease Control and Prevention (CDC). Interim guidance for healthcare professionals on human infections with 2019 novel coronavirus (2019-nCoV). Available at: https://www.cdc.gov/coronavirus/2019nCoV/hcp/index.html (accessed: 23.12.2020).
12. Vremennye metodicheskie rekomendacii: profilaktika, diagnostika i lechenie koronavirusnoj infekcii (COVID-19). Available at: https://static3.rosminzdrav.ru/system/attachments/attaches/000/049/877/original/ COVID19_recomend_v4.pdf (accessed: 15.07.2021).
Supplementary files
Review
For citations:
Mikhaylov I.P., Arustamyan V.A., Kozlovskij B.V., Kungurcev E.V. Acute ischemia of the lower limb in a patient with infective endocarditis under the mask of coronavirus infection. Grekov's Bulletin of Surgery. 2021;180(4):95-98. (In Russ.) https://doi.org/10.24884/0042-4625-2021-180-4-95-98
Views:
472
Email this article 