Ekaterinburg, Ekaterinburg, Russian Federation
Ekaterinburg, Russian Federation
Ekaterinburg, Ekaterinburg, Russian Federation
Ekaterinburg, Ekaterinburg, Russian Federation
Yekaterinburg, Ekaterinburg, Russian Federation
Yekaterinburg, Ekaterinburg, Russian Federation
Ekaterinburg, Ekaterinburg, Russian Federation
UDK 616 Патология. Клиническая медицина
Subject. The subject of this case report is infective endocarditis. Objective. The objective is to describe a clinical case under outpatient-polyclinic conditions at the dentist’s (periodontist’s) office. Methodology. Infective endocarditis is one of the most severe coronary vascular diseases associated with high mortality affected by the area and characteristics of infection, the phase of development, the type of a causative agent, the time to start antibacterial therapy, coexisting diseases, the extent of sequelae, surgical treatment and other circumstances. Following the appropriate treatment, more than 70% patients with infective endocarditis achieve recovery. Conclusions. This case report presents clinical manifestations in the oral cavity of a patient with infective endocarditis. The patient did not exhibit specific symptoms of infective endocarditis serving as the basis for the preliminary dental diagnosis and sending the patient to a cardiologist, rheumatologist for examination and treatment. It should be noted that the patient needs the complex treatment of periodontitis, oral cavity sanation, the case follow-up, supportive periodontal therapy and professional oral hygiene on a quarterly basis. These all can significantly improve the patient’s quality of life and longevity.
infective endocarditis, periodontal diseases, dental status in patients with comorbid pathology, anticoagulant therapy, warfarin
1. Aksenova T.A., Carenok S.Yu., Pisarevskiy Yu.L. i dr. Ocenka kompetentnosti vrachey stomatologov v voprosah profilaktiki infekcionnogo endokardita. Zabaykal'skiy medicinskiy vestnik. 2018;1:58-64. [T.A. Aksenova, S.Yu.Tsarenok, Yu.L.Pisarevsky et al. Evaluation of the competence of dentists on problems of prevention of infective endocarditis. Zabaikalsk Medical Bulletin. 2018;1:58-64. (In Russ.)]. DOIhttps://doi.org/10.52485/19986173_2018_1_58.
2. Gaysina E.F., Elovikova T.M., Izmozherova N.V., Motousova S.A. Antibiotikoprofilaktika infekcionnogo endokardita na stomatologicheskom prieme. Problemy stomatologii. 2019;15(2):4-10. [E.F. Gaisina, T.M. Elovikova, N.V. Izmozherova, S.A. Motousova. Antibiotic prophylaxis of infective endocarditis in dentistry. Actual Problems in Dentistry. 2019;15(2):4-10. (In Russ.)]. DOIhttps://doi.org/10.18481/2077-7566-2019-15-2-4-10.
3. Galeeva Z.R., Muhamedzhanova L.R. Ocenka rasprostranennosti i struktura endo-parodontal'nyh porazheniy: znachenie v klinicheskoy praktike. Klinicheskaya stomatologiya. 2011;2(58):99-101. [Z.R. Galeeva, L.R. Mukhamedzhanova. Evaluation of spread and structure of endo-periodontic lesions: clinical significance. Clinical Stomatology. 2011;2(58);99-101. (In Russ.)]. https://elibrary.ru/item.asp?id=22653180
4. Elovikova T.M., Baranova I.A. Prognosticheskie aspekty parodontita: Endo-parodontal'nye porazheniya. Problemy stomatologii. 2012;5:4-7. [T.M. Elovikova, I.A. Baranova. Predictive aspects of periodontitis: endo-periodontic lesions. Actual Problems in Dentistry. 2012;5:4-7. (In Russ.)]. https://cyberleninka.ru/article/n/prognosticheskie-aspekty-parodontita-endo-parodontalnye-porazheniya
5. Elovikova T.M., Sablina S. N., Grigor'ev S.S. i dr. Bolezn' Shegrena i osteoporoz v praktike vracha-stomatologa: klinicheskiy sluchay. Problemy stomatologii. 2022;18(4):17-23. [T.M. Elovikova, S.N. Sablina, S.S. Grigorjev et al. Sjogren’s syndrome and osteoporosis in a practice of a dental practitioner: clinical case study. Actual Problems in Dentistry. 2022;18(4):17-23. (In Russ.)]. DOIhttps://doi.org/10.18481/2077-7566-2022-18-4-17-23.
6. Elovikova T.M., Sablina S.N., Grigor'ev S.S. i dr. Osobennosti sostoyaniya zubov i parodonta u zhenschin pozhilogo vozrasta s saharnym diabetom i osteoporozom. Problemy stomatologii. 2022;18(3):90-95. [T.M. Elovikova, S.N. Sablina, S.S. Grigirjev et al. Specific characteristics of dental health and periodontal conditions in elderly women with diabetes mellitus and osteoporosis. Actual Problems in Dentistry. 2022;18(3):90-95. (In Russ.)]. DOIhttps://doi.org/10.18481/2077-7566-2022-18-3-90-95.
7. Zinnatullina A.R., Salimzyanova A.R. Trudnosti podbora antibiotikoterapii dlya lecheniya infekcionnogo endokardita na primere klinicheskogo sluchaya. Terapiya. 2023;9(3S):182-183. [A.R. Zinnatullina, A.R. Salimzyanova. Challenges in selecting antibiotic therapy for the treatment of infective endocarditis in the example case study. Therapy. 2023;3(3S):182-183. (In Russ.)]. https://dx.doi.org/10.18565/therapy.2023.3suppl.182-183.
8. Isakova E.Yu., Atamanova T.Yu. Klinicheskiy sluchay infekcionnogo endokardita. Prakticheskaya medicina. 2020;18(6):167-169. [E.Yu. Isakova, T.Yu. Atamanova. Clinical case of infective endocarditis. Practical Medicine. 2020;18(6):167-169. (In Russ.)]. DOIhttps://doi.org/10.32000/2072-1757-2020-6-167-169.
9. Kryuchkov D.Yu., Kryuchkova O.N., Romanenko I.G. i dr. Sostoyanie polosti rta i stomatologicheskie vmeshatel'stva kak faktor riska infekcionnogo endokardita. Osobennosti profilaktiki. Krymskiy terapevticheskiy zhurnal. 2020;3:80-83. [D.Yu. Kryuchkov, O.N. Kryuchkova, I.G. Romanenko et al. The condition of the oral cavity and dental interventions as a risk factor for infective endocarditis. Features of prevention. Crimean Therapeutic Journal. 2020;3:80-83. (In Russ.)]. https://cyberleninka.ru/article/n/sostoyanie-polosti-rta-i-stomatologicheskie-vmeshatelstva-kak-faktor-riska-infektsionnogo-endokardita-osobennosti-profilaktiki
10. Lutay Yu.A., Kryuchkova O.N., Ickova E.A. i dr. Infekcionnyy endokardit. Koncepciya sovremennyh klinicheskih rekomendaciy. Krymskiy terapevticheskiy zhurnal. 2022;2:5-13. [Yu.A. Lutai, O.N. Kryuchkova, E.A. Itskova et al. Infective endocarditis. The concept of modern clinical guidelines. Crimean Therapeutic Journal. 2022;2:5-13. (In Russ.)]. https://cyberleninka.ru/article/n/infektsionnyy-endokardit-kontseptsiya-sovremennyh-klinicheskih-rekomendatsiy
11. Semencova E.A., Mandra Yu.V., Bazarnyy V.V. i dr. Vzaimosvyaz' klinicheskih stomatologicheskih vozrast-associirovannyh sindromov i nekotoryh prediktorov stareniya v polosti rta. Parodontologiya. 2022;27(1):74-79. [E.A. Sementsova, Yu.V. Mandra, V.V. Bazarny et al. The link between age-related dental syndromes and some oral predictors of aging. Parodontologiya. 2022;27(1):74-79. (In Russ.)]. DOIhttps://doi.org/10.33925/1683-3759-2022-27-1-74-79.
12. Shustova T.A., Deryabina N.M., Chegodaeva L.V. Trudnyy pacient: infekcionnyy endokardit ili bolezn' Stilla vzroslyh? Sovremennaya nauka: aktual'nye problemy teorii i praktiki. Seriya: Estestvennye i tehnicheskie nauki. 2023;4-2:225-228. [T.A. Shustova, N.M. Deryabina, L.V. Chegodayeva. The difficult patient: infective endocarditis or adult Still disease? Modern Science: Actual Issues of Theory and Practice. Series: Natural and Technical Sciences. 2023;4-2:225-228. (In Russ.)]. DOIhttps://doi.org/10.37882/2223-2966.2023.04-2.37.
13. Shatov D.V., Shatova Yu.V. Aktual'nye voprosy antibiotikoprofilaktiki infekcionnogo endokardita v stomatologicheskoy praktike. Vestnik Bashkirskogo gosudarstvennogo medicinskogo universiteta. 2018;6:92-96. [D.V. Shatov, Yu.V. Shatova. Key issues surrounding antibiotic prophylaxis of infective endocarditis in dental practice. Bulletin of Bashkir State Medical University. 2018;6:92-96. (In Russ.)]. https://s.siteapi.org/7bd21d3a35e453b.ru/docs/f96pgv37xzk8c4084k88gkkgwko840
14. Ambrosioni J. et al. The Changing Epidemiology of Infective Endocarditis in the Twenty-First Century // Current Infectious Disease Reports. - 2017;5(19):21. DOIhttps://doi.org/10.1007/s11908-017-0574-9
15. Brennan Y., Gu Y., Schifter M., Crowther H., Favaloro E.J., Curnow J. Dental extractions on direct oral anticoagulants vs. warfarin: The DENTST study // Res Pract Thromb Haemost. - 2020;4(2):278-284. DOI:https://doi.org/10.1002/rth2.12307.
16. Chatzopoulos G.S., Jiang Z., Marka N., Wolff L.F. Relationship of Medication Intake and Systemic Conditions with Periodontitis: A Retrospective Study // J Pers Med. - 2023;13(10):1480. DOI:https://doi.org/10.3390/jpm13101480.
17. Hiroshi I., Natsuko S.Y., Yutaka I., Masayori S., Hiroyuki N., Hirohisa I. Frequency of hemorrhage after tooth extraction in patients treated with a direct oral anticoagulant: A multicenter cross-sectional study // PLoS One. - 2022;17(4):e0266011. DOI:https://doi.org/10.1371/journal.pone.0266011.
18. Moreno-Drada J.A., Silva da Cruz A.J., Soares de Faria M.L. Oral Health-Related Quality of Life in Anticoagulated Patients with Warfarin Treatment: A Cross-Sectional Study // Int J Environ Res Public Health. - 2021;18(7):3714. DOI:https://doi.org/10.3390/ijerph18073714.
19. Lee J.S., Kim M.K., Kang S.H. Effect of warfarin discontinuation on the incidence of postoperative bleeding in tooth extraction // J Korean Assoc Oral Maxillofac Surg. - 2020;46(4):228-234. DOI:https://doi.org/10.5125/jkaoms.2020.46.4.228.
