A 40 y.o. patient with rheumatic heart disease complains of anorexia, weakness and loss of weight, breathlessness and swelling of feet. The patient had tooth extraction one month ago. On examination: t- 39°C, Ps- 100/min. Auscultation: diastolic murmur in the mitral area. Petechial lesion around the clavicle; spleen was palpable.

Answer options

1. Aortic stenosis
2. Thrombocytopenia purpura
3. Mitral stenosis
4. Recurrence of rheumatic fever
5. Subacute bacteria endocarditis

Explanation

A 40 y.o. patient with rheumatic heart disease complains of anorexia, weakness and loss of weight, breathlessness and swelling of feet. The patient had tooth extraction one month ago. On examination: t0- 390C, Ps- 100/min. Auscultation: diastolic murmur in the mitral area. Petechial lesion around the clavicle; spleen was palpable.Subacute bacterial endocarditis (also called endocarditis lenta) is a type of endocarditis (more specifically, infective endocarditis). Sub-acute bacterial endocarditis can be considered a form of type III hypersensitivity. It is usually caused by a form of