Subacute septic endocarditis: causes, symptoms and treatment
Subacute septic endocarditis, also known as tape sepsis or Chernogubov's disease, is a serious inflammatory disease of the endocardium - the inner layer of the heart that covers the surface of the valves and the walls of the heart cavities. This condition is characterized by slow progression and infectious inflammation of the endocardium, which can lead to serious complications such as valve damage, infectious emboli and heart failure.
The reasons for the development of septic subacute endocarditis can be varied. The main pathogenetic mechanism is associated with the penetration of microorganisms into the bloodstream and their attachment to the surface of the affected endocardium. Most often, the infection occurs as a result of bacterial contamination of the blood caused by infectious processes in other organs or tissues. Certain groups of people are at increased risk of developing subacute septic endocarditis, including people with congenital heart defects, immunodeficiency conditions, rheumatic diseases, and people who use drugs.
The main symptom of septic subacute endocarditis is a gradual deterioration in general health. Patients may experience weakness, fatigue, loss of appetite, and weight loss. Fever and intermittent complaints of joint and muscle pain are common. Skin manifestations such as petechiae (small hemorrhages), hemorrhages under the nails and tongue may also be characteristic findings.
To diagnose septic subacute endocarditis, it is necessary to conduct a series of laboratory and instrumental studies. The patient's blood is subjected to bacteriological analysis to isolate the infectious agent. Echocardiography may also be done to look for changes in the structure of the heart, such as valve damage or the formation of infectious masses.
Treatment of subacute septic endocarditis usually includes the use of antibiotics to eliminate the infection and prevent possible complications. The choice of antibiotics is made taking into account the microorganism causing the infection and its sensitivity to the drugs. In some cases, surgery may be required to remove diseased valves or infectious masses.
It is important to note that subacute septic endocarditis is a serious and potentially dangerous disease that requires immediate treatment. If you suspect this condition or experience symptoms similar to those described above, it is important to see a doctor to get a diagnosis and appropriate treatment.
It is also worth paying attention to the prevention of septic subacute endocarditis in people at increased risk. People with congenital heart defects or artificial valves, or those who will be undergoing surgery, may be advised to take prophylactic doses of antibiotics before certain medical procedures.
In conclusion, subacute septic endocarditis poses a serious threat to cardiovascular health. Early diagnosis, antibiotic therapy and, if necessary, surgery play a key role in the successful treatment of this disease. Therefore, it is important to consult a doctor at the first suspicion of subacute septic endocarditis in order to receive timely medical care and prevent possible complications.