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...

Ngày tải lên: 07/07/2014, 04:20

... 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)...

Ngày tải lên: 07/07/2014, 04:20

... Chapter 118. Infective Endocarditis (Part 13) Timing of Cardiac Surgery In general, when indications for surgical treatment of infective endocarditis are identified, ... and S. aureus endocarditis, respectively. Recrudescent endocarditis involving a new implanted prosthetic valve follows surgery in 2% of patients with culture-positive native valve endocarditis ... a...

Ngày tải lên: 07/07/2014, 04:20

... Chapter 118. Infective Endocarditis (Part 1) Harrison's Internal Medicine > Chapter 118. Infective Endocarditis Infective Endocarditis: Introduction The prototypic lesion of infective ... "Echocardiography," below). Table 118- 1 Organisms Causing Major Clinical Forms of Endocarditis Percent of Cases Native Valve Endocarditis Prosthet...

Ngày tải lên: 07/07/2014, 04:20

... 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...

Ngày tải lên: 07/07/2014, 04:20

... 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...

Ngày tải lên: 07/07/2014, 04:20

... 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...

Ngày tải lên: 07/07/2014, 04:20

... 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...

Ngày tải lên: 07/07/2014, 04:20

... 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...

Ngày tải lên: 07/07/2014, 04:20

... 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...

Ngày tải lên: 07/07/2014, 04:20