Continuous endocarditis is one of the most common cardiac infections that can occur in adults over 60 years of age or older.
This time, a poor patient alone does not present this complication of any bacterial origin that has also been reported in a clinical setting rarely seen in adult populations.
There was a review by Medicina y Salud Pública (MSP) of doctor Miguel Laforet Matos, internal medicine physician at Manatí Medical Center (MMC), who was part of the medical team that attended for 58 years.
La endocarditis Infection affects the internal resection of the heart (endocardium), which also affects the cardiac valves. It produces when the bacteria access the torrent sanguine, read the cardiac valves and adhere to them.
“The patient has pain in the extremities, lesions in the muscles, and his characteristic symptoms of vasculitis. In this patient, the levels of IgA (which avoid allergic reactions) are mediated and it is mandatory to perform a biopsy of the injured lesions, ”explained the Doctor.
“The salivary biopsy is positive for leukocytoclastic vasculitis -which affects the small blood vessels mainly of the pelvis- mediated by endocarditis. This type of vasculitis is very common in nines around 90 to 95% of cases. The rest is for adults. The prevalence of this leukocytoclastic vasculitis with a positive biopsy is 4.5% for every 100 miles in adults, ”he said.
Leucocytoclastic vasculitis is treated in this patient with steroidal drugs, while endocarditis with antibiotics.
Other risk factors for the endocarditis his artificial cardiac valves, daily cardiac valves, congenital cardiac defects, implanted cardiac device, antecedents of endocarditis, antecedents of consumption of intravenous drugs illicit, use to catheter to large place, between others.