Chapter 118 Infective Endocarditis (Part 1) pdf
Chapter 118. Infective Endocarditis (Part 1) pdf
...
Chapter 118. Infective Endocarditis
(Part 1)
Harrison's Internal Medicine > Chapter 118. Infective Endocarditis
Infective Endocarditis: Introduction
The prototypic lesion of infective ... cause sporadic episodes of
endocarditis, only a few bacterial species cause the majority of cases (Table 118-
1). The pathogens vary somewhat with the clinical types o...
Chapter 118. Infective Endocarditis (Part 2) doc
... that cause endocarditis do so in characteristic epidemiologic
settings (e.g., Coxiella burnetii in Europe, Brucella species in the Middle East).
Chapter 118. Infective Endocarditis
(Part 2) ... in the former population does not
significantly influence the causes of endocarditis.
From 5 to 15% of patients with endocarditis have negative blood cultures;
in one-third to one-h...
Chapter 118. Infective Endocarditis (Part 3) pps
... Anemia 70–90
Endocarditis caused by Bartonella species and the agent of Q fever, C. burnetii, is
exceptionally indolent.
Table 118- 2 Clinical and Laboratory Features of Infective Endocarditis
...
The clinical features of endocarditis are nonspecific. However, these
symptoms in a febrile patient with valvular abnormalities or a behavior pattern that
predisposes to endocarditi...
Chapter 118. Infective Endocarditis (Part 4) pot
... Chapter 118. Infective Endocarditis
(Part 4)
Cardiac Manifestations
Although heart murmurs are usually indicative of the predisposing cardiac
pathology rather than of endocarditis, ...
Microabscesses in brain and meninges occur commonly in S. aureus endocarditis;
surgically drainable intracerebral abscesses are infrequent.
Figure 118- 2
related to septic emboli, inclu...
Chapter 118. Infective Endocarditis (Part 5) doc
... nodes, Roth's
spots, rheumatoid factor
Chapter 118. Infective Endocarditis
(Part 5)
Diagnosis
The Duke Criteria
The diagnosis of infective endocarditis is established with certainty ...
organism consistent with infective endocarditis
a
Tra
nsesophageal echocardiography is recommended for assessing possible
prosthetic valve endocarditis or complicated endo...
Chapter 118. Infective Endocarditis (Part 6) docx
... intracardiac fistulae.
Figure 118- 3
Chapter 118. Infective Endocarditis
(Part 6)
The roles of bacteremia and echocardiographic findings in the diagnosis of
endocarditis are appropriately ... patients with definite endocarditis; nevertheless,
false-negative studies are noted in 6–18% of endocarditis patients. TEE is the
optimal method for the diagnosis of prosthetic...
Chapter 118. Infective Endocarditis (Part 7) pot
... kg
per inch over 5 feet).
Chapter 118. Infective Endocarditis
(Part 7)
Experts favor echocardiographic evaluation of all patients with a clinical
diagnosis of endocarditis; however, the ... undergo surgery for endocarditis.
Infective Endocarditis: Treatment
Antimicrobial Therapy
It is difficult to eradicate bacteria from the avascular vegetation in infective
endocard...
Chapter 118. Infective Endocarditis (Part 8) ppt
... should receive standard
Chapter 118. Infective Endocarditis
(Part 8)
Organism-Specific Therapies
Streptococci
To select the optimal therapy for streptococcal endocarditis, the minimum ... streptococci, as is prosthetic valve endocarditis caused by these
organisms or by streptococci with a penicillin MIC of >0.1 µg/mL (Table 118- 4).
therapy. Right-sided endocarditis...
Chapter 118. Infective Endocarditis (Part 9) docx
... treatment must
therefore be individualized (Table 118- 6).
Chapter 118. Infective Endocarditis
(Part 9)
Other Organisms
In the absence of meningitis, endocarditis caused by Streptococcus
pneumoniae ...
determinants of therapy for subacute endocarditis. Pending the availability of
diagnostic data, blood culture–negative subacute native valve endocarditis is
118- 5)....
Chapter 118. Infective Endocarditis (Part 10) ppt
... Clin North Am
16:453, 2002.
Chapter 118. Infective Endocarditis
(Part 10)
Table 118-
5 Indications for Cardiac Surgical Intervention in Patients
with Endocarditis
Surgery required ...
Fungal (mold)
endocarditis
Fungal endocarditis
(Candida spp.)
Elective
(earlier usually
preferred)
Antibiotic-resistant
organisms
Abbreviation: PVE, prosthetic valve e...
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