Change of the Pattern of the Demographic Characteristics of the Patients with Endocarditis: Clinical Case of Infectious Endocarditis in Man with Injectible Drug Dependence, Complicated with Pneumonia and Peripheral Necroses of Feet, Arms, Nose (Own Clinical Observations and Experience of Education in State and English Language)

Infectious endocarditis is multisystem disease, which the result of infection (usually bacterial) endocardial heart surface. Despite latest medical achievements in diagnostics and treatment, infectious still a disease with high mortality rate severe complications. During last decades developed countries there are obvious changes demographic characteristics patients endocarditis, namely increasing aged degenerative valvular diseases, anamnesis invasive manipulations procedures. Beside well known risk factors (artificial valves implanted devices), roles injectible drug-dependence, human immunodeficiency virus wide contact health protection system as predisposing for endocarditis. The article contains literature data main populational groups Clinical case (fatal) patient drug dependence submitted. Special features peripheral dry necroses feet, arms, nose, very close to description symmetrical gangrene. This rare disorder was first described by Hutchinson 1891 37-year old man, who had gangrene fingers, hands ears after shock. Symmetrical can be induced different non-inflection causes. majority these cases connected treatment cardiogenic shock disseminated intravascular coagulation. Submitted will useful care specialists reminder necessity constant monitoring skin color distal parts limbs sick patients.