FEATURES OF THE COURSE OF INFECTIOUS ENDOCARDITIS IN PEOPLE OF SENILE AGE (CLINICAL CASES)

Clinical cases of infective endocarditis are presented in the article, features of the course in patients of senile age are considered. The course of this pathology is quite well studied, however, in the elderly there are many diagnostic features associated with age-related changes in the body, degenerative transformation of the valves, which significantly complicates the visualization of vegetations and distorts the results of echocardiography and the presence of comorbid pathology. The presented clinical cases indicate the peculiarities of the course of infective endocarditis in patients of senile age, both women and men. In the first case, infectious endocarditis was manifested by decompensation of heart failure, however, a preserved ejection fraction, a febrile temperature with large fluctuations without inflammatory changes in the blood, and the appearance of a hemorrhagic rash were noted. The presence of perforation of a chronic ulcer significantly complicated the diagnosis of infectious endocarditis. In the second case, infectious endocarditis was manifested by prolonged subfibrillation with inflammatory changes in the blood, the development of acute coronary syndrome with manifestations of acute heart failure and acute disruption of cerebral circulation, as a complication of infectious endocarditis. The delayed diagnosis of infectious endocarditis is due to the presence of comorbid kidney pathology, which in turn could be manifested by hyperthermia, and abdominal ischemic syndrome, which was probably a manifestation of infectious endocarditis.