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Vol. 25. Issue 7.
Pages 252-255 (October 1989)
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Vol. 25. Issue 7.
Pages 252-255 (October 1989)
DOI: 10.1016/S0300-2896(15)31687-2
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Manifestaciones pulmonares como expresion clinica de endocarditis infecciosa en drogadictos
Pulmonary manifestations as clinical expression of bacterial endocarditis in drug addicts
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M. Valdés Chávarri, A. Cano Sánchez, A. García Alberola, F. Sánchez Gascón, J. Santesteban de Mingo, F. Soria Arcos, J. Prieto Sánchez
Servicio Docente de Medicina Interna. Hospital General. Facultad de Medicina de Murcia
F.J. Espinosa Parra*, J. Arribas Ros*
* Servicio de Medicina Interna. Hospital Santa María del Rosell. Cartagena
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Se describen cinco casos de endocarditis de corazón derecho en pacientes drogadictos, todos ellos debidos a Staphylococcus aureus. Junto a la fiebre, el dolor de tipo pleurítico, la tos y la expectoración purulenta o hemoptoica fueron las notas clínicas predominantes. La radiografía simple de tórax demostró nodulos periféricos cavilados en la mayoría de los pacientes. Los datos cardiológicos fueron prácticamente inexistentes. Sólo la ecocardiografía puede aportar datos de valor diagnóstico. La respuesta terapéutica en todos los pacientes fue excelente. Se hace hincapié en el hecho de que la presentación febril de un drogadicto con manifestaciones pulmonares debe despertar de inmediato la sospecha de endocarditis infecciosa.

We reported five cases of right sided endocarditis in drug addicts due to Staphylococcus aureus. Fever, pleuritic pain, cough and purulent or bloody sputum production were the classical presentation. The chest X-ray on admission showed multiples and pheripheral nodules or infiltrates. With time the majority undergo cavitation. The cardiological findings were irrelevant. Only the ecocardiography had some diagnostic value. The clinical response to treatment was excellent in all the patients. The clinical presentation of a drug addict with fever and pulmonary manifestations should always raise the possibility of a bacterial endocarditis.

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Copyright © 1989. Sociedad Española de Neumología y Cirugía Torácica
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