CLINICAL CASE: INFECTIOUS PANCARDITIS IN AN INJECTING DRUG USER

Vikentev V. V., Sapunova D. A.

Injecting drug users constitute a special group of patients with infective endocarditis in several classifications, which is characterized by a frequent fatal outcome. Difficulties in timely diagnosis of the most studied infectious endocarditis in injecting drug users are associated with a small sample of observations, atypicity and polymorphism of signs, which forms a contradictory clinical picture. A history of intravenous drug use is a significant criterion for the diagnosis of infectious endocarditis, which indicates a possible route of infection in patients with fever. Infectious endocarditis in injecting drug users is characterized by both damage to the myocardial valves and the parietal endocardium. The article provides a clinical analysis of a rare case of infectious pancarditis, which is a combination of endo-, myo- and pericarditis, against the background of cardiomyopathy in a young patient with drug addiction diagnosed postmortem, where the course of the disease at the beginning was marked by a pattern of community-acquired pneumonia.

Keywords:infectious pancarditis, parietal endocarditis, injecting drug user, atypical and polymorphic signs.