{"id":621,"date":"2025-05-27T18:49:19","date_gmt":"2025-05-27T15:49:19","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/endocardite-infectieuse\/"},"modified":"2026-04-24T12:40:34","modified_gmt":"2026-04-24T09:40:34","slug":"endocardite-infectieuse","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/fr\/maladies\/cardiologie\/endocardite-infectieuse\/","title":{"rendered":"Endocardite infectieuse : \u00e9tiologie, pathog\u00e9nie, classification, diagnostic et options de traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>\u0418\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 (\u0418\u042d) \u2014 \u044d\u0442\u043e \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b\u044c\u043d\u043e \u0436\u0438\u0437\u043d\u0435\u0443\u0433\u0440\u043e\u0436\u0430\u044e\u0449\u0435\u0435 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class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 \u043b\u0435\u0432\u044b\u0445 \u043e\u0442\u0434\u0435\u043b\u043e\u0432 \u0441\u0435\u0440\u0434\u0446\u0430<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/2-Infective%20endocarditis%20of%20the%20right%20heart%20(62)%20BG%2BPlashki%2BLogo%2BSound_1.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 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24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const videosCarouselSwiper = new Swiper('.video-carousel-swiper-block_69efb8a6d69ef', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_69efb8a6d69ef',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_69efb8a6d69ef',\n                prevEl: '.video-carousel-swiper-button-prev-block_69efb8a6d69ef',\n            },\n            on: {\n                slideChangeTransitionStart: function () {\n                    const videos = this.el.querySelectorAll('video');\n                    videos.forEach(video => {\n                        if 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\u043f\u0440\u0438\u0445\u043e\u0434\u0438\u0442\u0441\u044f \u043d\u0430 \u043b\u0438\u0446 \u0441\u0442\u0430\u0440\u0448\u0435 60 \u043b\u0435\u0442, \u0447\u0442\u043e \u0441\u0432\u044f\u0437\u0430\u043d\u043e \u0441 \u043d\u0430\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u0435\u043c \u0444\u0430\u043a\u0442\u043e\u0440\u043e\u0432 \u0440\u0438\u0441\u043a\u0430, \u0442\u0430\u043a\u0438\u0445 \u043a\u0430\u043a \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u0442\u0435\u0437\u044b, \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u044b\u0435 \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u044b, \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f \u0438 \u0447\u0430\u0441\u0442\u044b\u0435 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0435 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0430. \u041c\u0443\u0436\u0447\u0438\u043d\u044b \u0431\u043e\u043b\u0435\u044e\u0442 \u043f\u0440\u0438\u043c\u0435\u0440\u043d\u043e \u0432 2 \u0440\u0430\u0437\u0430 \u0447\u0430\u0449\u0435, \u0447\u0435\u043c \u0436\u0435\u043d\u0449\u0438\u043d\u044b.<\/p>\n<p>\u0412 \u043f\u043e\u0441\u043b\u0435\u0434\u043d\u0438\u0435 \u0434\u0435\u0441\u044f\u0442\u0438\u043b\u0435\u0442\u0438\u044f \u043f\u0440\u043e\u0438\u0437\u043e\u0448\u0435\u043b \u0441\u0434\u0432\u0438\u0433 \u0432 \u044d\u043f\u0438\u0434\u0435\u043c\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u043c \u043f\u0440\u043e\u0444\u0438\u043b\u0435: \u0432\u043c\u0435\u0441\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0441 \u0440\u0435\u0432\u043c\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u043f\u043e\u0440\u043e\u043a\u0430\u043c\u0438 \u0441\u0435\u0440\u0434\u0446\u0430 \u0438 \u043b\u0438\u0446, \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u043b\u044f\u044e\u0449\u0438\u0445 \u0432\u043d\u0443\u0442\u0440\u0438\u0432\u0435\u043d\u043d\u044b\u0435 \u043d\u0430\u0440\u043a\u043e\u0442\u0438\u043a\u0438, \u0442\u0435\u043f\u0435\u0440\u044c \u043f\u0440\u0435\u043e\u0431\u043b\u0430\u0434\u0430\u044e\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044b \u043f\u043e\u0436\u0438\u043b\u043e\u0433\u043e \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430, \u0447\u0430\u0441\u0442\u043e \u0441 \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u043c\u0438 \u043a\u043b\u0430\u043f\u0430\u043d\u0430\u043c\u0438, \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u043c\u0438 \u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0442\u043e\u0440\u0430\u043c\u0438.<\/p>\n<h2 class=\"wp-block-heading\" id=\"etiologie\">\u00c9tiologie<\/h2>\n<p>\u041f\u0440\u0438\u0447\u0438\u043d\u043e\u0439 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0418\u042d \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u044b\u0435 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u044b.<\/p>\n<ul class=\"wp-block-list\">\n<li><em>Staphylococcus aureus<\/em> : agent le plus fr\u00e9quent, en particulier dans les infections nosocomiales et chez les toxicomanes ;<\/li>\n<li><em>Streptococcus viridans<\/em> \u2014 \u043a\u043b\u0430\u0441\u0441\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u0438 \u043f\u0440\u0438 \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0438 \u043d\u0430\u0442\u0438\u0432\u043d\u044b\u0445 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432 \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0431\u0435\u0437 \u043e\u0447\u0435\u0432\u0438\u0434\u043d\u044b\u0445 \u0444\u0430\u043a\u0442\u043e\u0440\u043e\u0432 \u0440\u0438\u0441\u043a\u0430.<\/li>\n<li><em>Enterococcus spp.<\/em> : facteur important chez les patients \u00e2g\u00e9s, souvent associ\u00e9 \u00e0 des interventions urog\u00e9nitales ;<\/li>\n<li>Staphylocoques \u00e0 coagulase n\u00e9gative : agents pathog\u00e8nes fr\u00e9quents dans les infections de proth\u00e8ses valvulaires ;<\/li>\n<li>HACEK-\u0433\u0440\u0443\u043f\u043f\u0430, \u0433\u0440\u0438\u0431\u044b, \u0433\u0440\u0430\u043c\u043e\u0442\u0440\u0438\u0446\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u043f\u0430\u043b\u043e\u0447\u043a\u0438 \u0438 \u0434\u0440\u0443\u0433\u0438\u0435 \u2014 \u0432\u0441\u0442\u0440\u0435\u0447\u0430\u044e\u0442\u0441\u044f \u0440\u0435\u0436\u0435<\/li>\n<\/ul>\n<p>Les facteurs de risque sont les suivants : pr\u00e9sence de valves artificielles et de stimulateurs cardiaques, ant\u00e9c\u00e9dents d\u2019endocardite infectieuse, cardiopathies, consommation de drogues intraveineuses, h\u00e9modialyse chronique.<\/p>\n<h2 class=\"wp-block-heading\" id=\"pathogenie\">Pathog\u00e9nie<\/h2>\n<p>La pathog\u00e9nie de l\u2019endocardite infectieuse comprend plusieurs phases successives :<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>\u041f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435 \u044d\u043d\u0434\u043e\u0442\u0435\u043b\u0438\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432<\/strong> (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u043f\u0440\u0438 \u0442\u0443\u0440\u0431\u0443\u043b\u0435\u043d\u0442\u043d\u043e\u043c \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0435) \u2192 \u044d\u043a\u0441\u043f\u043e\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0432\u043d\u0435\u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u0433\u043e \u043c\u0430\u0442\u0440\u0438\u043a\u0441\u0430.<\/li>\n<li><strong>\u0410\u0434\u0433\u0435\u0437\u0438\u044f \u0442\u0440\u043e\u043c\u0431\u043e\u0446\u0438\u0442\u043e\u0432 \u0438 \u0444\u0438\u0431\u0440\u0438\u043d\u0430<\/strong> \u2192 \u0444\u043e\u0440\u043c\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0441\u0442\u0435\u0440\u0438\u043b\u044c\u043d\u043e\u0433\u043e \u0442\u0440\u043e\u043c\u0431\u0430 (\u043d\u0435\u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u0442\u0440\u043e\u043c\u0431\u043e\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442).<\/li>\n<li><strong>\u041c\u0438\u043a\u0440\u043e\u0431\u043d\u0430\u044f \u0438\u043d\u0432\u0430\u0437\u0438\u044f<\/strong> \u2014 \u043f\u0440\u0438 \u0442\u0440\u0430\u043d\u0437\u0438\u0442\u043e\u0440\u043d\u043e\u0439 \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0435\u043c\u0438\u0438 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u044b \u043a\u043e\u043b\u043e\u043d\u0438\u0437\u0438\u0440\u0443\u044e\u0442 \u0442\u0440\u043e\u043c\u0431.<\/li>\n<li><strong>\u041e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0439<\/strong> \u2014 \u043f\u043b\u043e\u0442\u043d\u044b\u0435 \u0441\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u044f \u0444\u0438\u0431\u0440\u0438\u043d\u0430, \u043a\u043b\u0435\u0442\u043e\u043a \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u044f \u0438 \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0439, \u0437\u0430\u0449\u0438\u0449\u0435\u043d\u043d\u044b\u0435 \u043e\u0442 \u0438\u043c\u043c\u0443\u043d\u043d\u043e\u0433\u043e \u043e\u0442\u0432\u0435\u0442\u0430 \u0438 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0432.<\/li>\n<li><strong>\u0414\u0435\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u044b\u0445 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440 \u0438 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u0430\u044f \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u044f<\/strong> \u2192 \u0441\u0438\u0441\u0442\u0435\u043c\u043d\u044b\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f, \u0441\u0435\u043f\u0441\u0438\u0441, \u043e\u0441\u0442\u0440\u0430\u044f \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u0430\u044f \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c.\u00a0<\/li>\n<\/ol>\n<p>\u0418\u043c\u043c\u0443\u043d\u043d\u044b\u0435 \u043c\u0435\u0445\u0430\u043d\u0438\u0437\u043c\u044b \u0442\u0430\u043a\u0436\u0435 \u0432\u043d\u043e\u0441\u044f\u0442 \u0432\u043a\u043b\u0430\u0434 \u0432 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u0439, \u0442\u0430\u043a\u0438\u0445 \u043a\u0430\u043a \u0432\u0430\u0441\u043a\u0443\u043b\u0438\u0442\u044b \u0438 \u0433\u043b\u043e\u043c\u0435\u0440\u0443\u043b\u043e\u043d\u0435\u0444\u0440\u0438\u0442\u044b.<\/p>\n<p>Une \u00e9tape cl\u00e9 est la formation de v\u00e9g\u00e9tations qui favorisent la persistance de l\u2019infection et le d\u00e9veloppement de complications emboliques.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/1-Vegetations_on_the_mitral_valve.webp\" alt=\"V\u00e9g\u00e9tations sur la valve mitrale\"><figcaption class=\"wp-element-caption\">V\u00e9g\u00e9tations sur la valve mitrale<\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/2-Perforation_of_the_tricuspid_valve_leaflet.webp\" alt=\"Perforation du feuillet de la valve tricuspide\"><figcaption class=\"wp-element-caption\">Perforation du feuillet de la valve tricuspide<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"classification-de-l-endocardite-infectieuse\">Classification de l\u2019endocardite infectieuse<\/h2>\n<figure class=\"wp-block-table table-to-cards\">\n<table class=\"has-fixed-layout\">\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>\u041f\u043e \u043b\u043e\u043a\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u043f\u0440\u043e\u0446\u0435\u0441\u0441\u0430<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041b\u0435\u0432\u043e\u0441\u0442\u043e\u0440\u043e\u043d\u043d\u0438\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Atteinte des valves mitrale et\/ou aortique (cas le plus fr\u00e9quent)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite droite<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0435 \u0442\u0440\u0438\u043a\u0443\u0441\u043f\u0438\u0434\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0438\/\u0438\u043b\u0438 (\u0440\u0435\u0436\u0435) \u043b\u0435\u0433\u043e\u0447\u043d\u043e\u0433\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u0430 (\u0447\u0430\u0449\u0435 \u0443 \u043f\u043e\u0442\u0440\u0435\u0431\u0438\u0442\u0435\u043b\u0435\u0439 \u0438\u043d\u044a\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0445 \u043d\u0430\u0440\u043a\u043e\u0442\u0438\u043a\u043e\u0432, \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0441 \u0446\u0435\u043d\u0442\u0440\u0430\u043b\u044c\u043d\u044b\u043c \u0432\u0435\u043d\u043e\u0437\u043d\u044b\u043c \u043a\u0430\u0442\u0435\u0442\u0435\u0440\u043e\u043c)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041a\u043e\u043c\u0431\u0438\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Atteinte simultan\u00e9e des c\u0153urs gauche et droit<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite proth\u00e9tique<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Inflammation d\u2019une valve proth\u00e9tique m\u00e9canique ou biologique<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite sur dispositif cardiaque<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0418\u043d\u0444\u0435\u043a\u0446\u0438\u044f, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u0430\u044f \u0441 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u0434\u0430\u043c\u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0442\u043e\u0440\u043e\u0432, \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u0438\u0440\u0443\u0435\u043c\u044b\u0445 \u043a\u0430\u0440\u0434\u0438\u043e\u0432\u0435\u0440\u0442\u0435\u0440\u043e\u0432-\u0434\u0435\u0444\u0438\u0431\u0440\u0438\u043b\u043b\u044f\u0442\u043e\u0440\u043e\u0432 \u0438 \u0442.\u0434.<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>\u041f\u043e \u044d\u0442\u0438\u043e\u043b\u043e\u0433\u0438\u0438 (\u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u044e)<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0413\u0440\u0430\u043c\u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u043a\u043e\u043a\u043a\u0438<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Staphylococcus aureus<\/em>, staphylocoques \u00e0 coagulase n\u00e9gative, <em>Streptococcus viridans<\/em>, <em>Enterococcus spp.<\/em><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Bact\u00e9ries \u00e0 Gram n\u00e9gatif<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Groupe HACEK, autres ent\u00e9robact\u00e9ries<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0410\u0442\u0438\u043f\u0438\u0447\u043d\u044b\u0435 \/ \u043e\u0431\u043b\u0438\u0433\u0430\u0442\u043d\u043e \u0432\u043d\u0443\u0442\u0440\u0438\u043a\u043b\u0435\u0442\u043e\u0447\u043d\u044b\u0435<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Coxiella burnetii<\/em>, <em>Bartonella spp.<\/em>, <em>Tropheryma whipplei<\/em><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Champignons<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em> Candida spp.<\/em>, <em>Aspergillus spp.<\/em> (rarement, plus souvent chez les patients immunod\u00e9prim\u00e9s)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>\u041f\u043e \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u043c\u0443 \u0442\u0435\u0447\u0435\u043d\u0438\u044e<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041e\u0441\u0442\u0440\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041d\u0430\u0447\u0430\u043b\u043e: \u0432\u043d\u0435\u0437\u0430\u043f\u043d\u043e\u0435<br \/>\u0422\u0435\u0447\u0435\u043d\u0438\u0435: \u0431\u044b\u0441\u0442\u0440\u043e\u0435, \u0430\u0433\u0440\u0435\u0441\u0441\u0438\u0432\u043d\u043e\u0435<br \/>\u041f\u0430\u0442\u043e\u0433\u0435\u043d\u044b (\u0447\u0430\u0449\u0435): <em>Staphylococcus aureus<\/em>, \u03b2-\u0433\u0435\u043c\u043e\u043b\u0438\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0441\u0442\u0440\u0435\u043f\u0442\u043e\u043a\u043e\u043a\u043a\u0438<br \/>\u041e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438: \u0431\u044b\u0441\u0442\u0440\u043e\u0435 \u0440\u0430\u0437\u0440\u0443\u0448\u0435\u043d\u0438\u0435 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u0441\u0435\u043f\u0441\u0438\u0441, \u0432\u044b\u0441\u043e\u043a\u0430\u044f \u0441\u043c\u0435\u0440\u0442\u043d\u043e\u0441\u0442\u044c<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041f\u043e\u0434\u043e\u0441\u0442\u0440\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041d\u0430\u0447\u0430\u043b\u043e: \u043f\u043e\u0441\u0442\u0435\u043f\u0435\u043d\u043d\u043e\u0435 (\u043d\u0435\u0434\u0435\u043b\u0438)<br \/>\u0422\u0435\u0447\u0435\u043d\u0438\u0435: \u0432\u044f\u043b\u043e\u0435, \u0441 \u043d\u0435\u044f\u0441\u043d\u043e\u0439 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u043e\u0439<br \/>\u041f\u0430\u0442\u043e\u0433\u0435\u043d\u044b (\u0447\u0430\u0449\u0435): <em>Streptococcus viridans<\/em>, <em>Enterococcus spp<\/em>. <br \/>\u041e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438: \u0430\u043d\u0435\u043c\u0438\u044f, \u0441\u0443\u0431\u0444\u0435\u0431\u0440\u0438\u043b\u0438\u0442\u0435\u0442, \u0438\u043c\u043c\u0443\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0425\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041d\u0430\u0447\u0430\u043b\u043e: \u0434\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 (\u043c\u0435\u0441\u044f\u0446\u044b)<br \/>\u0422\u0435\u0447\u0435\u043d\u0438\u0435: \u0441\u043a\u0440\u044b\u0442\u043e\u0435 \u0438\u043b\u0438 \u0440\u0435\u0446\u0438\u0434\u0438\u0432\u0438\u0440\u0443\u044e\u0449\u0435\u0435<br \/>\u041f\u0430\u0442\u043e\u0433\u0435\u043d\u044b (\u0447\u0430\u0449\u0435): \u043d\u0438\u0437\u043a\u043e\u0432\u0438\u0440\u0443\u043b\u0435\u043d\u0442\u043d\u044b\u0435 \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0438, \u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430-\u043e\u0442\u0440\u0438\u0446\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u0444\u043e\u0440\u043c\u044b<br \/>\u041e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438: \u0437\u0430\u0442\u044f\u0436\u043d\u043e\u0435 \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u0435, \u0441\u0442\u043e\u0439\u043a\u0438\u0435 \u0438\u0437\u043c\u0435\u043d\u0435\u043d\u0438\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u0432\u043e\u0437\u043c\u043e\u0436\u0435\u043d \u0440\u0435\u0446\u0438\u0434\u0438\u0432 \u043f\u043e\u0441\u043b\u0435 \u0442\u0435\u0440\u0430\u043f\u0438\u0438<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/3-Infective_endocarditis_of_the_left_ventricles_(vegetations_on_the_valves-and_mitro-aortic_junction).webp\" alt=\"Endocardite infectieuse du c\u0153ur gauche (v\u00e9g\u00e9tations sur les valves et la jonction mitro-aortique)\"><figcaption class=\"wp-element-caption\">Endocardite infectieuse du c\u0153ur gauche (v\u00e9g\u00e9tations sur les valves et la jonction mitro-aortique) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/d1df170c-51ef-4d23-93b5-0380d03866e5\/982d1394-9046-49c1-a896-2da7012969bf\/7546a2f1-29a9-499f-b40d-862a113b087e\/088c7cec-04a4-48ca-a769-a9fe47ff8aa1\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/4-Infective_endocarditis_of_the_right_(vegetations_and_perforation_on_the_tricuspid_valve).webp\" alt=\"Endocardite infectieuse du c\u0153ur droit (v\u00e9g\u00e9tations et perforation sur la valve tricuspide)\"><figcaption class=\"wp-element-caption\">Endocardite infectieuse du c\u0153ur droit (v\u00e9g\u00e9tations et perforation sur la valve tricuspide) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/d1df170c-51ef-4d23-93b5-0380d03866e5\/982d1394-9046-49c1-a896-2da7012969bf\/7546a2f1-29a9-499f-b40d-862a113b087e\/68b9782f-6c85-4ffa-812f-7f53628e0416\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"manifestations-cliniques\">Manifestations cliniques<\/h2>\n<p>\u0421\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u0430 \u0418\u042d \u0432\u0430\u0440\u0438\u0430\u0431\u0435\u043b\u044c\u043d\u0430 \u0438 \u043c\u043e\u0436\u0435\u0442 \u0432\u043a\u043b\u044e\u0447\u0430\u0442\u044c \u043a\u0430\u043a \u043d\u0435\u0441\u043f\u0435\u0446\u0438\u0444\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b, \u0442\u0430\u043a \u0438 \u0436\u0438\u0437\u043d\u0435\u0443\u0433\u0440\u043e\u0436\u0430\u044e\u0449\u0438\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044f.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u041e\u0431\u0449\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b<\/strong>: \u043b\u0438\u0445\u043e\u0440\u0430\u0434\u043a\u0430, \u043f\u043e\u0442\u043b\u0438\u0432\u043e\u0441\u0442\u044c, \u0443\u0442\u043e\u043c\u043b\u044f\u0435\u043c\u043e\u0441\u0442\u044c, \u043f\u043e\u0445\u0443\u0434\u0430\u043d\u0438\u0435.<\/li>\n<li><strong>\u0421\u0435\u0440\u0434\u0435\u0447\u043d\u044b\u0435 \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u0438<\/strong>: \u043d\u043e\u0432\u044b\u0439 \u0438\u043b\u0438 \u0438\u0437\u043c\u0435\u043d\u0435\u043d\u043d\u044b\u0439 \u0448\u0443\u043c, \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u0438 \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438.<\/li>\n<li><strong>\u042d\u043c\u0431\u043e\u043b\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f<\/strong>: \u0438\u043d\u0441\u0443\u043b\u044c\u0442, \u0438\u0448\u0435\u043c\u0438\u044f \u043a\u043e\u043d\u0435\u0447\u043d\u043e\u0441\u0442\u0435\u0439, \u0438\u043d\u0444\u0430\u0440\u043a\u0442\u044b \u0432\u043d\u0443\u0442\u0440\u0435\u043d\u043d\u0438\u0445 \u043e\u0440\u0433\u0430\u043d\u043e\u0432.<\/li>\n<li><strong>\u0418\u043c\u043c\u0443\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f<\/strong>: \u043f\u0443\u0440\u043f\u0443\u0440\u0430, \u0443\u0437\u0435\u043b\u043a\u0438 \u041e\u0441\u043b\u0435\u0440\u0430, \u043f\u044f\u0442\u043d\u0430 \u0414\u0436\u0435\u0439\u043d\u0443\u044d\u044f, \u0433\u043b\u043e\u043c\u0435\u0440\u0443\u043b\u043e\u043d\u0435\u0444\u0440\u0438\u0442.<\/li>\n<li><strong>\u041f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0435 \u043f\u0440\u043e\u0432\u043e\u0434\u044f\u0449\u0435\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u044b<\/strong>: \u0431\u043b\u043e\u043a\u0430\u0434\u044b, \u0430\u0440\u0438\u0442\u043c\u0438\u0438.<\/li>\n<li><strong>\u041f\u0440\u0438 \u0442\u044f\u0436\u0435\u043b\u043e\u043c \u0442\u0435\u0447\u0435\u043d\u0438\u0438 \u0418\u042d<\/strong> \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0441\u0435\u043f\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u0448\u043e\u043a\u0430 \u0438 \u043f\u043e\u043b\u0438\u043e\u0440\u0433\u0430\u043d\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438.<\/li>\n<li><strong>\u041f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435<\/strong> \u0430\u0443\u0441\u043a\u0443\u043b\u044c\u0442\u0430\u0442\u0438\u0432\u043d\u044b\u0435 \u0448\u0443\u043c\u044b \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u043c\u0435\u043d\u0435\u0435 \u0432\u044b\u0440\u0430\u0436\u0435\u043d\u044b, \u0447\u0430\u0449\u0435 \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u043f\u0435\u0440\u0438\u0430\u043d\u043d\u0443\u043b\u044f\u0440\u043d\u0430\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044f \u2014 \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u044b, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u044b, \u0444\u0438\u0441\u0442\u0443\u043b\u044b.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"diagnostic-de-l-endocardite-infectieuse\">Diagnostic de l\u2019endocardite infectieuse<\/h2>\n<h3 class=\"wp-block-heading\" id=\"examens-de-laboratoire\">Examens de laboratoire<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>\u041e\u0431\u0449\u0438\u0439 \u0430\u043d\u0430\u043b\u0438\u0437 \u043a\u0440\u043e\u0432\u0438: <\/strong>\u0430\u043d\u0435\u043c\u0438\u044f \u043d\u043e\u0440\u043c\u043e\u0446\u0438\u0442\u0430\u0440\u043d\u0430\u044f, \u043b\u0435\u0439\u043a\u043e\u0446\u0438\u0442\u043e\u0437, \u0442\u0440\u043e\u043c\u0431\u043e\u0446\u0438\u0442\u043e\u043f\u0435\u043d\u0438\u044f.<\/li>\n<li><strong>\u0421\u041e\u042d, CRP<\/strong>: \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435.<\/li>\n<li><strong>\u041f\u0440\u043e\u043a\u0430\u043b\u044c\u0446\u0438\u0442\u043e\u043d\u0438\u043d<\/strong>: \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u0443\u043c\u0435\u0440\u0435\u043d\u043d\u043e \u043f\u043e\u0432\u044b\u0448\u0435\u043d.<\/li>\n<li><strong>\u041f\u043e\u0447\u0435\u0447\u043d\u044b\u0435 \u043f\u043e\u043a\u0430\u0437\u0430\u0442\u0435\u043b\u0438<\/strong>: \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435 \u043a\u0440\u0435\u0430\u0442\u0438\u043d\u0438\u043d\u0430 (\u0433\u043b\u043e\u043c\u0435\u0440\u0443\u043b\u043e\u043d\u0435\u0444\u0440\u0438\u0442, \u044d\u043c\u0431\u043e\u043b\u0438\u044f).<\/li>\n<li><strong>\u0413\u0435\u043c\u043e\u043a\u0443\u043b\u044c\u0442\u0443\u0440\u044b<\/strong>: \u043d\u0435 \u043c\u0435\u043d\u0435\u0435 \u0442\u0440\u0435\u0445 \u043f\u0440\u043e\u0431 \u0441 \u0438\u043d\u0442\u0435\u0440\u0432\u0430\u043b\u043e\u043c \u043d\u0435 \u043c\u0435\u043d\u0435\u0435 30 \u043c\u0438\u043d \u0434\u043e \u043d\u0430\u0447\u0430\u043b\u0430 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0432 (\u0434\u043e 95 % \u0447\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u0438).<\/li>\n<li><strong>\u0421\u0435\u0440\u043e\u043b\u043e\u0433\u0438\u044f\/\u041f\u0426\u0420<\/strong>: \u043f\u0440\u0438 \u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430-\u043e\u0442\u0440\u0438\u0446\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u043c \u0418\u042d (<em>Bartonella<\/em>, <em>Coxiella<\/em>, <em>Brucella<\/em> \u0438 \u0434\u0440.).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"examens-d-imagerie-medicale\">Examens d\u2019imagerie m\u00e9dicale<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>\u042d\u0445\u043e\u041a\u0413 <\/strong>(\u0447\u0440\u0435\u0441\u043f\u0438\u0449\u0435\u0432\u043e\u0434\u043d\u0430\u044f \u042d\u0445\u043e\u041a\u0413 \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0442\u0438\u0442\u0435\u043b\u044c\u043d\u0435\u0435, \u0447\u0435\u043c \u0442\u0440\u0430\u043d\u0441\u0442\u043e\u0440\u0430\u043a\u0430\u043b\u044c\u043d\u0430\u044f): \u0432\u044b\u044f\u0432\u043b\u044f\u0435\u0442 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0438, \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u044b, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u044b, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u0438, \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u0443\u044e \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044e. \u0427\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u044c \u0447\u0440\u0435\u0441\u043f\u0438\u0449\u0435\u0432\u043e\u0434\u043d\u043e\u0439 \u042d\u0445\u043e\u041a\u0413 \u0441\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u0431\u043e\u043b\u0435\u0435 90 %.<\/li>\n<li><strong>\u041a\u0422:<\/strong> \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0432\u044b\u044f\u0432\u0438\u0442\u044c \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u044b, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u044b, \u044d\u043c\u0431\u043e\u043b\u0438\u0438 \u0438 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430.<\/li>\n<li><strong>\u041f\u042d\u0422-\u041a\u0422:<\/strong> \u043e\u0431\u043d\u0430\u0440\u0443\u0436\u0438\u0432\u0430\u0435\u0442 \u0443\u0447\u0430\u0441\u0442\u043a\u0438 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u044f \u0438 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0438; \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u0446\u0435\u043d\u0435\u043d \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432.<\/li>\n<li><strong>\u041c\u0420\u0422 \u0433\u043e\u043b\u043e\u0432\u043d\u043e\u0433\u043e \u043c\u043e\u0437\u0433\u0430:<\/strong> \u0447\u0430\u0441\u0442\u043e \u0432\u044b\u044f\u0432\u043b\u044f\u0435\u0442 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435 \u044d\u043c\u0431\u043e\u043b\u044b, \u0434\u0430\u0436\u0435 \u043f\u0440\u0438 \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0438 \u043d\u0435\u0432\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u0438.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"criteres-de-duke\">Crit\u00e8res de Duke<\/h3>\n<p>\u041a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 \u0414\u044c\u044e\u043a\u0430 \u2014 \u043c\u0435\u0436\u0434\u0443\u043d\u0430\u0440\u043e\u0434\u043d\u043e \u043f\u0440\u0438\u0437\u043d\u0430\u043d\u043d\u0430\u044f \u0441\u0445\u0435\u043c\u0430 \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430 , \u043e\u0431\u044a\u0435\u0434\u0438\u043d\u044f\u044e\u0449\u0430\u044f \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435, \u043c\u0438\u043a\u0440\u043e\u0431\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u043e\u043d\u043d\u044b\u0435 \u0434\u0430\u043d\u043d\u044b\u0435.<\/p>\n<p><strong>\u0412\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u043d\u0430\u043b\u0438\u0447\u0438\u044f \u0418\u042d<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>\u0414\u043e\u0441\u0442\u043e\u0432\u0435\u0440\u043d\u043e \u2014 \u0434\u0432\u0430 \u043e\u0441\u043d\u043e\u0432\u043d\u044b\u0445 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u044f \u0414\u044c\u044e\u043a\u0430; \u0438\u043b\u0438 \u043e\u0434\u0438\u043d \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u0439 \u0438 \u0442\u0440\u0438 \u043c\u0430\u043b\u044b\u0445; \u0438\u043b\u0438 \u043f\u044f\u0442\u044c \u043c\u0430\u043b\u044b\u0445.<\/li>\n<li>\u0412\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u2014 \u043e\u0434\u0438\u043d \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u0439 \u0438 \u043e\u0434\u0438\u043d\u2013\u0434\u0432\u0430 \u043c\u0430\u043b\u044b\u0445; \u0438\u043b\u0438 \u0442\u0440\u0438 \u043c\u0430\u043b\u044b\u0445.<\/li>\n<li>\u0418\u0441\u043a\u043b\u044e\u0447\u0435\u043d\u043e \u2014 \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0430\u043b\u044c\u0442\u0435\u0440\u043d\u0430\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u0434\u0438\u0430\u0433\u043d\u043e\u0437\u0430; \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u044f \u043f\u0440\u0438 \u0430\u0443\u0442\u043e\u043f\u0441\u0438\u0438; \u0438\u043b\u0438 \u043f\u043e\u043b\u043d\u043e\u0435 \u0440\u0430\u0437\u0440\u0435\u0448\u0435\u043d\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043e\u0432 \u0431\u0435\u0437 \u0442\u0435\u0440\u0430\u043f\u0438\u0438.<\/li>\n<\/ul>\n<p><strong>\u041e\u0441\u043d\u043e\u0432\u043d\u044b\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 (major criteria)<\/strong><strong>\u00a0<\/strong><\/p>\n<ol class=\"wp-block-list\">\n<li>H\u00e9moculture positive (un des variants suivants) : <\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u0434\u0432\u0430 \u0438 \u0431\u043e\u043b\u0435\u0435 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u043a\u0440\u043e\u0432\u044f\u043d\u044b\u0445 \u043f\u043e\u0441\u0435\u0432\u0430 \u0442\u0438\u043f\u0438\u0447\u043d\u044b\u0445 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u043e\u0432 (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, <em>S. aureus<\/em>, <em>S. viridans<\/em>, <em>Enterococcus spp<\/em>.) \u0438\u0437 \u0440\u0430\u0437\u043d\u044b\u0445 \u043f\u0440\u043e\u0431;<\/li>\n<li>\u0443\u0441\u0442\u043e\u0439\u0447\u0438\u0432\u043e \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u0430\u044f \u0433\u0435\u043c\u043e\u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430: \u0434\u0432\u0430 \u0438 \u0431\u043e\u043b\u0435\u0435 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u043e\u0431\u0440\u0430\u0437\u0446\u0430 \u0441 \u0438\u043d\u0442\u0435\u0440\u0432\u0430\u043b\u043e\u043c \u043d\u0435 \u043c\u0435\u043d\u0435\u0435 12 \u0447\u0430\u0441\u043e\u0432;<\/li>\n<li>\u0442\u0440\u0438 \u0438 \u0431\u043e\u043b\u0435\u0435 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u0433\u0435\u043c\u043e\u043a\u0443\u043b\u044c\u0442\u0443\u0440 \u0438\u0437 \u0447\u0435\u0442\u044b\u0440\u0435\u0445, \u0432\u0437\u044f\u0442\u044b\u0445 \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 \u043e\u0434\u043d\u043e\u0433\u043e \u0447\u0430\u0441\u0430.<\/li>\n<\/ul>\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Preuves de l\u00e9sion endocardique :<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u0434\u0430\u043d\u043d\u044b\u0435 \u042d\u0445\u043e\u041a\u0413 (\u0447\u0440\u0435\u0441\u043f\u0438\u0449\u0435\u0432\u043e\u0434\u043d\u043e\u0439 \u0438\u043b\u0438 \u0442\u0440\u0430\u043d\u0441\u0442\u043e\u0440\u0430\u043a\u0430\u043b\u044c\u043d\u043e\u0439): \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u044f, \u0430\u0431\u0441\u0446\u0435\u0441\u0441, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u0430, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044f;<\/li>\n<li>\u043d\u043e\u0432\u043e\u0435 \u0432\u043e\u0437\u043d\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0438\u0435 \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0439 \u043d\u0435\u0441\u043e\u0441\u0442\u043e\u044f\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u0438 (\u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438).<\/li>\n<\/ul>\n<ol start=\"3\" class=\"wp-block-list\">\n<li>\u0410\u043b\u044c\u0442\u0435\u0440\u043d\u0430\u0442\u0438\u0432\u043d\u044b\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 (ESC 2023):<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u043f\u043e\u0437\u0438\u0442\u0438\u0432\u043d\u044b\u0439 \u041f\u042d\u0422-\u041a\u0422 \u0438\u043b\u0438 SPECT \u043f\u0440\u0438 \u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0438 \u043d\u0430 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u044b\u0439 \u0418\u042d;<\/li>\n<li>\u043f\u043e\u0437\u0438\u0442\u0438\u0432\u043d\u0430\u044f \u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430 \u0438\u0437 \u0438\u043d\u0442\u0440\u0430\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u043c\u0430\u0442\u0435\u0440\u0438\u0430\u043b\u0430 \u043a\u043b\u0430\u043f\u0430\u043d\u0430.<\/li>\n<\/ul>\n<p><strong>\u041c\u0430\u043b\u044b\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 (minor criteria)<\/strong><\/p>\n<ol class=\"wp-block-list\">\n<li>Maladie cardiaque pr\u00e9disposante ou consommation de drogues par voie intraveineuse.<\/li>\n<li>\u041b\u0438\u0445\u043e\u0440\u0430\u0434\u043a\u0430 38 \u00b0C \u0438 \u0432\u044b\u0448\u0435.<\/li>\n<li>Ph\u00e9nom\u00e8nes vasculaires : embolies, infarctus, h\u00e9morragies, taches de Janeway.<\/li>\n<li>Ph\u00e9nom\u00e8nes immunologiques : nodosit\u00e9s d\u2019Osler, taches de Roth, glom\u00e9rulon\u00e9phrite, facteur rhumato\u00efde.<\/li>\n<li>R\u00e9sultats microbiologiques ne r\u00e9pondant pas aux crit\u00e8res de base : h\u00e9moculture positive unique ou confirmation s\u00e9rologique d\u2019une infection typique de l\u2019endocardite infectieuse.<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"traitement-de-l-endocardite-infectieuse\">Traitement de l\u2019endocardite infectieuse<\/h2>\n<h3 class=\"wp-block-heading\" id=\"%d0%9c%d0%be%d0%b4%d0%b8%d1%84%d0%b8%d0%ba%d0%b0%d1%86%d0%b8%d1%8f-%d1%84%d0%b0%d0%ba%d1%82%d0%be%d1%80%d0%be%d0%b2-%d1%80%d0%b8%d1%81%d0%ba%d0%b0\">\u041c\u043e\u0434\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f \u0444\u0430\u043a\u0442\u043e\u0440\u043e\u0432 \u0440\u0438\u0441\u043a\u0430<\/h3>\n<ul class=\"wp-block-list\">\n<li>Retrait ou remplacement des dispositifs et cath\u00e9ters infect\u00e9s.<\/li>\n<li>Assainissement des foyers d\u2019infection (dents, peau).<\/li>\n<li>Limitation des proc\u00e9dures invasives inutiles.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"traitement-medicamenteux\">Traitement m\u00e9dicamenteux<\/h3>\n<p>\u041f\u0440\u0438\u043d\u0446\u0438\u043f\u044b:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0432\u044b\u0441\u043e\u043a\u0438\u0435 \u0434\u043e\u0437\u044b \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0446\u0438\u0434\u043d\u044b\u0445 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0432;<\/li>\n<li>\u0434\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f (\u043e\u0431\u044b\u0447\u043d\u043e 4\u20136 \u043d\u0435\u0434\u0435\u043b\u044c);<\/li>\n<li>\u0443\u0447\u0435\u0442 MIC (\u043c\u0438\u043d\u0438\u043c\u0430\u043b\u044c\u043d\u043e\u0439 \u0438\u043d\u0433\u0438\u0431\u0438\u0440\u0443\u044e\u0449\u0435\u0439 \u043a\u043e\u043d\u0446\u0435\u043d\u0442\u0440\u0430\u0446\u0438\u0438);<\/li>\n<li>\u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u0438\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0439 \u043f\u043e\u0434\u0445\u043e\u0434 \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u0445, \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u0430\u0445 \u0438 \u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u044b\u0445 \u0448\u0442\u0430\u043c\u043c\u0430\u0445.<\/li>\n<\/ul>\n<p>\u041f\u0440\u0438\u043c\u0435\u0440\u044b \u0441\u0445\u0435\u043c (\u043f\u043e ESC 2023):<\/p>\n<ul class=\"wp-block-list\">\n<li><em>Staphylococcus aureus<\/em> (\u043c\u0435\u0442\u0438\u0446\u0438\u043b\u043b\u0438\u043d-\u0447\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439, MSSA): \u043e\u043a\u0441\u0430\u0446\u0438\u043b\u043b\u0438\u043d \/ \u043d\u0430\u0444\u0446\u0438\u043b\u043b\u0438\u043d + \u0433\u0435\u043d\u0442\u0430\u043c\u0438\u0446\u0438\u043d (\u043f\u0435\u0440\u0432\u0430\u044f \u043d\u0435\u0434\u0435\u043b\u044f); \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u2014 \u0434\u043e\u0431\u0430\u0432\u043b\u044f\u044e\u0442 \u0440\u0438\u0444\u0430\u043c\u043f\u0438\u0446\u0438\u043d;<\/li>\n<li><em>Staphylococcus aureus<\/em> (\u043c\u0435\u0442\u0438\u0446\u0438\u043b\u043b\u0438\u043d-\u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u044b\u0439, MRSA): \u0432\u0430\u043d\u043a\u043e\u043c\u0438\u0446\u0438\u043d; \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u2014 \u0434\u043e\u0431\u0430\u0432\u043b\u044f\u044e\u0442 \u0440\u0438\u0444\u0430\u043c\u043f\u0438\u0446\u0438\u043d;<\/li>\n<li><em>Streptococcus spp.<\/em> : p\u00e9nicilline G ou ceftriaxone \u00b1 gentamicine ;<\/li>\n<li><em>Enterococcus spp<\/em>.: \u0430\u043c\u043f\u0438\u0446\u0438\u043b\u043b\u0438\u043d + \u0433\u0435\u043d\u0442\u0430\u043c\u0438\u0446\u0438\u043d \u0438\u043b\u0438 \u0430\u043c\u043f\u0438\u0446\u0438\u043b\u043b\u0438\u043d + \u0446\u0435\u0444\u0442\u0440\u0438\u0430\u043a\u0441\u043e\u043d (\u043f\u0440\u0438 \u0432\u044b\u0441\u043e\u043a\u043e\u043c \u0443\u0440\u043e\u0432\u043d\u0435 \u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u043e\u0441\u0442\u0438 \u043a \u0433\u0435\u043d\u0442\u0430\u043c\u0438\u0446\u0438\u043d\u0443).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"traitement-chirurgical\">Traitement chirurgical<\/h3>\n<p><strong>\u041f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0441\u0435\u0440\u0434\u0435\u0447\u043d\u0430\u044f \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c \u0432\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0438\u0435 \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0439 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u0438 (\u043e\u0441\u0442\u0440\u0430\u044f \u0442\u044f\u0436\u0435\u043b\u0430\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u0430\u044f \u0440\u0435\u0433\u0443\u0440\u0433\u0438\u0442\u0430\u0446\u0438\u044f);<\/li>\n<li>\u043d\u0435\u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0438\u0440\u0443\u0435\u043c\u0430\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044f (\u0430\u0431\u0441\u0446\u0435\u0441\u0441, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044f, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u0430, \u043f\u0440\u043e\u0434\u043e\u043b\u0436\u0430\u044e\u0449\u0430\u044f\u0441\u044f \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0435\u043c\u0438\u044f \u0431\u043e\u043b\u0435\u0435 7 \u0434\u043d\u0435\u0439, \u043d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0430\u0434\u0435\u043a\u0432\u0430\u0442\u043d\u0443\u044e \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u044e);<\/li>\n<li>\u043f\u043e\u0432\u0442\u043e\u0440\u043d\u044b\u0435 \u044d\u043c\u0431\u043e\u043b\u0438\u0438 \u0438\u043b\u0438 \u0431\u043e\u043b\u044c\u0448\u0438\u0435 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0438 c \u044d\u043f\u0438\u0437\u043e\u0434\u043e\u043c \u044d\u043c\u0431\u043e\u043b\u0438\u0438 (>10 \u043c\u043c), \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0438 \u0431\u043e\u043b\u0435\u0435 15 \u043c\u043c, \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u043f\u0440\u0438 \u043b\u0435\u0432\u043e\u0441\u0442\u043e\u0440\u043e\u043d\u043d\u0435\u043c \u0418\u042d, \u0434\u0430\u0436\u0435 \u0431\u0435\u0437 \u044d\u043c\u0431\u043e\u043b\u0438\u0439;<\/li>\n<li>\u043f\u0440\u043e\u0442\u0435\u0437\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442;<\/li>\n<li>\u0433\u0440\u0438\u0431\u043a\u043e\u0432\u044b\u0439 \u0418\u042d, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0418\u042d,\u00a0 \u0432\u044b\u0437\u0432\u0430\u043d\u043d\u044b\u0439 \u0432\u044b\u0441\u043e\u043a\u043e\u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u044b\u043c\u0438 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u0430\u043c\u0438.<\/li>\n<\/ul>\n<p><strong>\u041f\u0440\u043e\u0442\u0438\u0432\u043e\u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0434\u0435\u043a\u043e\u043c\u043f\u0435\u043d\u0441\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0435 \u043e\u0431\u0449\u0435\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0435, \u043c\u0443\u043b\u044c\u0442\u0438\u043e\u0440\u0433\u0430\u043d\u043d\u0430\u044f \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c;<\/li>\n<li>\u043d\u0435\u0434\u0430\u0432\u043d\u0438\u0439 \u043e\u0431\u0448\u0438\u0440\u043d\u044b\u0439 \u0438\u043d\u0441\u0443\u043b\u044c\u0442 \u0441 \u0433\u0435\u043c\u043e\u0440\u0440\u0430\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c \u043a\u043e\u043c\u043f\u043e\u043d\u0435\u043d\u0442\u043e\u043c.<\/li>\n<\/ul>\n<p><strong>\u0412\u0438\u0434\u044b \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0439 <\/strong>(\u0432 \u043f\u043e\u0434\u0430\u0432\u043b\u044f\u044e\u0449\u0435\u043c \u0431\u043e\u043b\u044c\u0448\u0438\u043d\u0441\u0442\u0432\u0435 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u044e\u0442\u0441\u044f \u0432 \u0443\u0441\u043b\u043e\u0432\u0438\u044f\u0445 \u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0433\u043e \u043a\u0440\u043e\u0432\u043e\u043e\u0431\u0440\u0430\u0449\u0435\u043d\u0438\u044f):<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0437\u0430\u043c\u0435\u043d\u0430 (\u043f\u0440\u043e\u0442\u0435\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435) \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u043d\u043e\u0433\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u0430;<\/li>\n<li>\u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0439, \u0441\u0430\u043d\u0430\u0446\u0438\u044f \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u043e\u0432;<\/li>\n<li>\u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u044b\u0435 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0430 (\u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0430 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u043a\u043e\u043b\u0435\u0446 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u043a\u043e\u0440\u043d\u044f \u0430\u043e\u0440\u0442\u044b); \u043f\u0440\u0438 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u043a\u043e\u0440\u043d\u044f \u0430\u043e\u0440\u0442\u044b \u043c\u043e\u0436\u0435\u0442 \u043f\u043e\u043d\u0430\u0434\u043e\u0431\u0438\u0442\u044c\u0441\u044f \u0437\u0430\u043c\u0435\u043d\u0430 \u043a\u043e\u043d\u0434\u0443\u0438\u0442\u043e\u043c (\u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0439 \u0441\u043e\u0441\u0443\u0434\u0438\u0441\u0442\u044b\u0439 \u043f\u0440\u043e\u0442\u0435\u0437 \u0441 \u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u043c) \u0438\u043b\u0438 \u0433\u043e\u043c\u043e\u0433\u0440\u0430\u0444\u0442\u043e\u043c (\u0447\u0435\u043b\u043e\u0432\u0435\u0447\u0435\u0441\u043a\u0438\u0439 \u0434\u043e\u043d\u043e\u0440\u0441\u043a\u0438\u0439 \u043a\u043b\u0430\u043f\u0430\u043d \u0441 \u0443\u0447\u0430\u0441\u0442\u043a\u043e\u043c \u0432\u043e\u0441\u0445\u043e\u0434\u044f\u0449\u0435\u0439 \u0430\u043e\u0440\u0442\u044b);<\/li>\n<li>\u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0438\u043d\u0444\u0438\u0446\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0445 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432: \u043f\u0440\u0438 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u0434\u043e\u0432 \u0438\u043b\u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0442\u043e\u0440\u0430 \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043e \u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0432\u0441\u0435\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u044b; \u043f\u0440\u0438 TAVI-\u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u0447\u0430\u0441\u0442\u043e \u0441\u043e\u043f\u0440\u044f\u0436\u0435\u043d\u0430 \u0441 \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u043b\u0435\u0442\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c\u044e, \u043d\u043e \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0430 \u043f\u0440\u0438 \u043d\u0435\u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438 \u0442\u0435\u0440\u0430\u043f\u0438\u0438.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Qu\u2019est-ce que l\u2019endocardite infectieuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">L\u2019endocardite infectieuse est une maladie inflammatoire de la paroi interne du c\u0153ur (endocarde), impliquant le plus souvent les valves, caus\u00e9e par une infection bact\u00e9rienne ou fongique.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quels sont les sympt\u00f4mes de l\u2019endocardite infectieuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les sympt\u00f4mes les plus courants sont la fi\u00e8vre, les frissons, la faiblesse, le souffle cardiaque et la perte de poids. Complications possibles : accidents vasculaires c\u00e9r\u00e9braux, embolies, insuffisance cardiaque.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quelles sont les bact\u00e9ries les plus souvent responsables de l\u2019endocardite infectieuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u041d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0447\u0430\u0441\u0442\u044b\u0435 \u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u0438: <em>Staphylococcus aureus, Streptococcus viridans, Enterococcus spp.<\/em>. \u0423 \u043b\u0438\u0446 \u0441 \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u043c\u0438 \u0438\u043b\u0438 \u0432\u043d\u0443\u0442\u0440\u0438\u0441\u043e\u0441\u0443\u0434\u0438\u0441\u0442\u044b\u043c\u0438 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432\u0430\u043c\u0438 \u0447\u0430\u0441\u0442\u043e \u0432\u0441\u0442\u0440\u0435\u0447\u0430\u0435\u0442\u0441\u044f <em>Staphylococcus epidermidis<\/em>.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Quels sont les dangers de l\u2019endocardite infectieuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0418\u042d \u043c\u043e\u0436\u0435\u0442 \u043f\u0440\u0438\u0432\u0435\u0441\u0442\u0438 \u043a \u0440\u0430\u0437\u0440\u0443\u0448\u0435\u043d\u0438\u044e \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438, \u044d\u043c\u0431\u043e\u043b\u0438\u0447\u0435\u0441\u043a\u0438\u043c \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f\u043c (\u0438\u043d\u0441\u0443\u043b\u044c\u0442\u044b, \u0438\u043d\u0444\u0430\u0440\u043a\u0442\u044b \u043e\u0440\u0433\u0430\u043d\u043e\u0432), \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u0430\u043c \u0438 \u0441\u0435\u043f\u0441\u0438\u0441\u0443. \u041b\u0435\u0442\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c \u0434\u043e\u0441\u0442\u0438\u0433\u0430\u0435\u0442 20\u201330 %.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Est-il possible de gu\u00e9rir l\u2019endocardite infectieuse sans chirurgie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, dans certains cas \u2013 en particulier avec des valves natives et des micro-organismes sensibles \u2013 une gu\u00e9rison compl\u00e8te avec des antibiotiques est possible. Toutefois, en cas de complications, une intervention chirurgicale peut \u00eatre n\u00e9cessaire.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Quand une intervention chirurgicale est-elle n\u00e9cessaire pour l\u2019endocardite infectieuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u041e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0430 \u043f\u0440\u0438: <br \/>\u2022 \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438\u0437-\u0437\u0430 \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0439 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u0438; <br \/>\u2022 \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u0430\u0445, \u0440\u0430\u0437\u0440\u044b\u0432\u0430\u0445, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044f\u0445; <br \/>\u2022 \u043d\u0435\u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0439 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u0438; <br \/>\u2022 \u0433\u0440\u0438\u0431\u043a\u043e\u0432\u043e\u0439 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0438; <br \/>\u2022 \u0440\u0435\u0446\u0438\u0434\u0438\u0432\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u044d\u043c\u0431\u043e\u043b\u0438\u044f\u0445.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Quelle est la dur\u00e9e de l\u2019antibioth\u00e9rapie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La dur\u00e9e du traitement est g\u00e9n\u00e9ralement de 4 \u00e0 6 semaines, en fonction de l\u2019agent pathog\u00e8ne, du type de valve (native ou proth\u00e9tique) et des complications.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Peut-on pr\u00e9venir l\u2019endocardite infectieuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0414\u0430, \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0438\u0437 \u0433\u0440\u0443\u043f\u043f\u044b \u0440\u0438\u0441\u043a\u0430 (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u0441 \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u043c\u0438 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432) \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0443\u0435\u0442\u0441\u044f \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u043f\u0440\u043e\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u043a\u0430 \u043f\u0435\u0440\u0435\u0434 \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u043d\u044b\u043c\u0438 \u0441\u0442\u043e\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u0438\u043b\u0438 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u043f\u0440\u043e\u0446\u0435\u0434\u0443\u0440\u0430\u043c\u0438.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">9. Qui pr\u00e9sente un risque \u00e9lev\u00e9 d\u2019endocardite infectieuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Ce sont les porteurs de proth\u00e8ses valvulaires ou de stimulateurs cardiaques, les personnes pr\u00e9sentant des ant\u00e9c\u00e9dents d\u2019endocardite infectieuse ou souffrant d\u2019une cardiopathie cong\u00e9nitale, les patients sous h\u00e9modialyse et les toxicomanes.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet]. VOKA 3D Anatomy & Pathology. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Available from: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Delgado V, Ajmone Marsan N, de Waha S, Bonaros N, Brida M, Burri H, et al.; ESC Scientific Document Group. 2023 ESC guidelines for the management of endocarditis. Eur Heart J. 2023 Oct 14;44(39):3948\u20134042. doi:10.1093\/eurheartj\/ehad193. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Li M, Kim JB, Sastry BKS, Chen M. Infective endocarditis. Lancet. 2024 Jul 27;404(10450):377\u2013392. doi:10.1016\/S0140-6736(24)01098-5.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Rajani R, Klein JL. Infective endocarditis: a contemporary update. Clin Med (Lond). 2020 Jan;20(1):31\u201335. doi:10.7861\/clinmed.cme.20.1.1. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Wang A, Gaca JG, Chu VH. Management considerations in infective endocarditis: a review. JAMA. 2018 Jul 3;320(1):72\u201383. doi:10.1001\/jama.2018.7596. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Baddour LM, Wilson WR, Bayer AS, Fowler VG Jr, Tleyjeh IM, Rybak MJ, et al.; American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and Stroke Council. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications: a scientific statement for healthcare professionals from the American Heart Association. Circulation. 2015 Oct 13;132(15):1435\u20131486. doi:10.1161\/CIR.0000000000000296. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Iung B. Infective endocarditis: epidemiology, pathophysiology and histopathology. Presse Med. 2019 May;48(5):513\u2013521. doi:10.1016\/j.lpm.2019.04.009. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Chambers HF, Bayer AS. Native-valve infective endocarditis. N Engl J Med. 2020 Aug 6;383(6):567\u2013576. doi:10.1056\/NEJMcp2000400. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Jain A, Subramani S, Gebhardt B, Hauser J, Bailey C, Ramakrishna H. Infective endocarditis\u2014update for the perioperative clinician. J Cardiothorac Vasc Anesth. 2023 Apr;37(4):637\u2013649. doi:10.1053\/j.jvca.2022.12.030. <\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u0418\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 (\u0418\u042d) \u2014 \u044d\u0442\u043e \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b\u044c\u043d\u043e \u0436\u0438\u0437\u043d\u0435\u0443\u0433\u0440\u043e\u0436\u0430\u044e\u0449\u0435\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u043e\u0435 \u0441 \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u0435\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0430, \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0433\u043e \u0430\u043f\u043f\u0430\u0440\u0430\u0442\u0430 \u0441\u0435\u0440\u0434\u0446\u0430, \u0432\u044b\u0437\u0432\u0430\u043d\u043d\u043e\u0435 \u043c\u0438\u043a\u0440\u043e\u0431\u043d\u043e\u0439 \u0438\u043d\u0432\u0430\u0437\u0438\u0435\u0439. \u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0430\u043d\u0442\u0438\u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438 \u0438 \u0441\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0445 \u043c\u0435\u0442\u043e\u0434\u043e\u0432 \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438, \u043f\u0440\u043e\u0446\u0435\u043d\u0442 \u0441\u043c\u0435\u0440\u0442\u043d\u043e\u0441\u0442\u0438 \u043e\u0442 \u043e\u0431\u0449\u0435\u0433\u043e \u0447\u0438\u0441\u043b\u0430 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0448\u0438\u0445 \u043e\u0441\u0442\u0430\u0435\u0442\u0441\u044f \u0432\u044b\u0441\u043e\u043a\u0438\u043c. \u00c9pid\u00e9miologie \u0427\u0430\u0441\u0442\u043e\u0442\u0430 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430 \u0432\u0430\u0440\u044c\u0438\u0440\u0443\u0435\u0442 \u043e\u0442 3 \u0434\u043e 15 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043d\u0430 100 000 \u043d\u0430\u0441\u0435\u043b\u0435\u043d\u0438\u044f \u0432 \u0433\u043e\u0434. \u0417\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u0435\u043c\u043e\u0441\u0442\u044c \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430\u0435\u0442 \u0441 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","diseases_category":[230],"class_list":["post-621","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-cardiologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Endocardite infectieuse : sympt\u00f4mes, causes, classification et traitement<\/title>\n<meta name=\"description\" content=\"L&#039;endocardite infectieuse est une inflammation dangereuse de la paroi interne du c\u0153ur qui endommage les valves. 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