Osler’s Subacute Infective Endocarditis on Rheumatic Heart: A Complicated Clinical Case That Reflects Four (4) Major Public Health Issues in Sub-Saharan Africa  

作　　者：Pêngd-Wendé Habib Boussé Traore Aliou Alassane Ngaide Aliou Alassane Ngaide Jean Augustin Diégane Tine Alioune Kane Akouètè Jean Paul Degue Alassane Mbaye Bouna Diack Abdoul Kane Pêngd-Wendé Habib Boussé Traore;Aliou Alassane Ngaide;Aliou Alassane Ngaide;Jean Augustin Diégane Tine;Alioune Kane;Akouètè Jean Paul Degue;Alassane Mbaye;Bouna Diack;Abdoul Kane(Cardiology Department, Idrissa Pouye General Hospital, Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal;Institute of Health and Development, Public Health Service, Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop Univer-sity, Dakar, Senegal;Cardiology Department, Dalal Jamm Hospital, Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal)

机构地区：[1]Cardiology Department, Idrissa Pouye General Hospital, Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal [2]Institute of Health and Development, Public Health Service, Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop Univer-sity, Dakar, Senegal [3]Cardiology Department, Dalal Jamm Hospital, Faculty of Medicine, Pharmacy and Dentistry, Cheikh Anta Diop University, Dakar, Senegal

出　　处：《Case Reports in Clinical Medicine》2022年第12期507-519,共13页临床医学病理报告（英文）

摘　　要：Endocarditis is an inflammation of the endocardium and its structures (valves), most often of infectious origin, described by William Osler in 1885. In the 21st century, infective endocarditis remains a reality in our countries. We report a complicated case of infective endocarditis (IE). This is a 53-year-old woman, obese and passive smoker who died on the 5th day of her hospitalization following an infective endocarditis (IE) with bacterial strains resistant to the usual antibiotics: daughter of acute lithiasic cholecystitis, mother of major mitral valve perforation, brain abscess, ischemic stroke and atrial fibrillation. All were responsible for septic shock and fatal coma. Surgical management of the infective endocarditis in the first hours of her admission could have improved her prognosis. To conclude, in addition to its interests and its clinical particularities, our present observation has highlighted major public health problems specific to our sub-Saharan African countries, namely: The problem of the double health burden, the problem of delays in seeking care, the problem of resistance to antibiotics and the problem of the insufficiency of reference health technical platforms.Endocarditis is an inflammation of the endocardium and its structures (valves), most often of infectious origin, described by William Osler in 1885. In the 21st century, infective endocarditis remains a reality in our countries. We report a complicated case of infective endocarditis (IE). This is a 53-year-old woman, obese and passive smoker who died on the 5th day of her hospitalization following an infective endocarditis (IE) with bacterial strains resistant to the usual antibiotics: daughter of acute lithiasic cholecystitis, mother of major mitral valve perforation, brain abscess, ischemic stroke and atrial fibrillation. All were responsible for septic shock and fatal coma. Surgical management of the infective endocarditis in the first hours of her admission could have improved her prognosis. To conclude, in addition to its interests and its clinical particularities, our present observation has highlighted major public health problems specific to our sub-Saharan African countries, namely: The problem of the double health burden, the problem of delays in seeking care, the problem of resistance to antibiotics and the problem of the insufficiency of reference health technical platforms.

关 键 词：Infective Endocarditis Rheumatic Heart Disease Cardiovascular Risk Factors Antibiotic Resistance Acute Lithiasis Cholecystitis Neurological Complications Delayed Consultation Senegal 

分 类 号：R54[医药卫生—心血管疾病]