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This may cause a negative blood culture. Streptococci, according to Swiss physicians, were the cause of bacterial endocarditis in patients chetyrex, Corynebacteria - a dvux and in one case had a mixed infection [3]. Six patients were HIV-infected and 17 had chronic viral hepatitis. Ten patients (three of them are HIV positive) underwent surgical treatment. When cardiosurgery treatment was carried out: dissection tricuspid valve replacement (one patient) or without replacement (in chetyrex patients) valve, removal of vegetations and valve replacement (two patients), replacement of the mitral valve (in dvux patients), prosthetic aortic valve ( one patient). In the case of tricuspid valve endocarditis tactics surgical intervention (to perform a resection to remove the vegetation or carry out valve replacement) was selected taking into account the severity of the valve and the state of the patient's psychosocial status. If the vegetation present on only one wing valve and can be easily removed, used vegetoektomiya annuloplasty with autologous pericardium. Removal of the valve without his prosthesis is the treatment of choice among those patients who can not exclude the use of drugs in the future. Bioprosthesis prosthesis used in the case when there is complete destruction of the valve and it is proved that the patient has abstained from drugs for a long time before surgery. Thus, the above clinical observations show convincingly that the "syringe" bacterial infection of the most serious and life-threatening complication is bacterial endocarditis tricuspid valve with the development of hematogenous lung destruction and comprehensive picture of sepsis. Conducting a full-scale combined therapy in the real world is problematic because of the high cost of medical treatment, the need for correction of cardiac and uncontrollable changes in personality psychopathology. References 1. Medical microbiology / Ch. Ed. VI Pokrovsky, DC Pozdeev. MM: GEOTAR Medicine, 1999. 1200. 2. Carrel T., Schaffner A., ??Pasic M. et al. Surgery of endocarditis in the drug dependent and HIV patient. A prospective comparison with conservative treatment / / Helv. Chir. Acta. 1993. Vol. 60. № 3. P. 439-445. 3. Hogevik H., Soderquist B., Tung H. S. et al. Virulence factors of Staphylococcus aureus strains causing infective endocarditis a comparison with strains from skin infections / / APMIS. 1998. Vol. 106. № 9. P. 901-908. Figure 1. The graph of the temperature curve patient B., 23 years Figure 2. The graph of the temperature curve patient L., 23, Figure 5. CT scan of the chest patient L., 22 years old, published in the journal's doctor

under the weight of liver toxins

One of the most common liver disease is alcoholic hepatitis, it is seen as a precursor or initial and obligatory stage of cirrhosis liver.