Абсцесс селезенки у больной инфекционным эндокардитом
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Ключевые слова: инфекционный эндокардит, инфаркт селезенки, абсцесс селезенки, симультанная операция.
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A patient with infective endocarditis (IE), complicated by the development of the abscess of the spleen, is described. The diagnosis of IE was verified several months after the onset of clinical symptoms (fever, hemorrhagic skin rashes, splenomegaly).The patient suspected hemorrhagic vasculitis and lymphoma of the spleen, which were not confirmed. With transesophageal echocardiography, vegetations on the aortic valve have been identified, and, according to CT, a spleen infarct with suspected abscess. A successful simultaneous operation was performed – aortic valve replacement and splenectomy. An abscess was found in the spleen. The patient is discharged in a satisfactory condition.
Keywords: infective endocarditis, spleen infarction, spleen abscess, simultaneous operation.
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10. Ozkurt Z, Erkut B, Kadanali A, Ates A, Yekeler I. Nosocomial Methicilin-resistant Staphylococcus aureus endocarditis with splenic abscess in a pregnant woman. Jpn J Infect Dis. 2005;58:323-5.
11. Naito R, Mitani H, Ishiwata S, Yamaguchi T, Tanaka K, Naruse Y, Hideki A, Ohno M. Infective endocarditis complicated with splenic abscess successfully treated with splenectomy followed by double valve replacement. J Cardiology Cases. 2010;2(1):e20-e2.
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3. Ting W, Silverman NA, Arzouman DA, Levitsky S. Splenic septic emboli in endocarditis. Circulation. 1990;82(5 Suppl):105-9.
4. Mansur AJ, Grinberg М, da Luz PL, Bellotti G. The complications of infective endocarditis. A reappraisal in the 1980s. Arch Intern Med. 1992;152:2428-32.
5. Ebels J, Van Elst F, Vanderveken M, Van Cauwelaert R,
Brands C, Declercq S, Willemsen P. Splenic abscess complicating infective endocarditis: three case reports. Acta Chir Belg. 2007;107(6):720-3.
6. Carbonell AM, Kercher KW, Matthews BD, Joels CS, Sing RF, Heniford BT. Laparoscopic splenectomy for splenic abscess. Surg Laparosc Endosc Percutan Tech. 2004;14(5):289-91.
7. Simsir SA, Cheeseman SH, Lancey RA, Vander Salm TJ, Gammie JS. Staged laparoscopic splenectomy and valve replacement in splenic abscess and infective endocarditis. Ann Thorac Surg. 2003;75(5):1635-7.
8. Elasfar А, АlBaradai A, AlHarfi Z, Alassal M, Ghoneim A, Ghofaili F. Splenic abscess associated with infective endocarditis; Case series. J Saudi Heart Assoc. 2015;27(3):210-15. https://doi: 10.1016/j.jsha.2015.02.001
9. Robinson SL, Saxe JM, Lucas CE, Arbulu A, Ledgerwood AM, Lucas WF. Splenic abscess associated with endocarditis. Surgery. 1992;112:781-6.
10. Ozkurt Z, Erkut B, Kadanali A, Ates A, Yekeler I. Nosocomial Methicilin-resistant Staphylococcus aureus endocarditis with splenic abscess in a pregnant woman. Jpn J Infect Dis. 2005;58:323-5.
11. Naito R, Mitani H, Ishiwata S, Yamaguchi T, Tanaka K, Naruse Y, Hideki A, Ohno M. Infective endocarditis complicated with splenic abscess successfully treated with splenectomy followed by double valve replacement. J Cardiology Cases. 2010;2(1):e20-e2.
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
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L.I. Dvoretsky, S.V. Yakovlev, E.V. Sergeeva, S.E. Kolendo
I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation, Moscow, Russia