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  • Title: [Difficulties in the diagnosis of secondary infectious endocarditis].
    Author: Ivaniv IuA.
    Journal: Ter Arkh; 1988; 60(7):38-41. PubMed ID: 3212737.
    Abstract:
    The paper is devoted to analysis of the case histories of 84 dead patients hospitalized to the Cardiosurgical Center for rheumatic heart disease in 1976-86. In 21 cases it was secondary infective endocarditis, unrecognized in 12 (57%) patients during life. Secondary infective endocarditis was shown to cause an increase in acute phase indices in 60% of the patients with acquired heart disease. Early diagnosis of disease made difficult the use of prednisolone in patients suffering from heart disease with a vague febrile state. Secondary infective endocarditis caused no specific changes of any of the studied indices. Its diagnosis should be based on a combined approach with account of rapid deterioration of a course of rheumatic heart disease and a therapeutic effect.
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