[Contribution of the Duke's classification in the emergency department in the early management of infective endocarditis]
| Autor: | C, Hautain, P, Delleuze, C, Godefroid, M, Vranckx |
|---|---|
| Jazyk: | francouzština |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Endocarditis Fever Bacteremia Sensitivity and Specificity Anti-Bacterial Agents Intensive Care Units Early Diagnosis Treatment Outcome Echocardiography Predictive Value of Tests Vancomycin Humans Drug Therapy Combination Female Gentamicins Emergency Service Hospital Substance Abuse Intravenous |
| Zdroj: | Revue medicale de Bruxelles. 36(2) |
| ISSN: | 0035-3639 |
| Popis: | The diagnosis of infective endocarditis is based on multiple clinical signs than on a single positive test result. The contribution of echocardiography is an indispensable asset to avoid misdiagnosis or delayed correct diagnosis. A 24-year old woman is admitted to the emergency room. She has a poor general condition, pyrexia and necrotic lesions on the body. After examination, the diagnosis of multiple organ failure and severe sepsis from infective endocarditis from intravenous injections of cocaine is made and the patient is transferred to ICU. She is treated with vancomycin for 4 weeks and gentamicin for 8 days. Her clinical improvement allows her to be transferred to a hospital unit at day 6. She goes home after 28 days of hospitalization. Several sets of criteria for the diagnosis of infective endocarditis are described. The most commonly accepted are revised Duke's criteria that take into account echocardiography. This article aims, through a clinical case, to describe this classification too little used in the emergency room. |
| Databáze: | OpenAIRE |
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