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 endoca...

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

... 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...

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... spots) 2–15 Petechiae 10–40 Laboratory manifestations Anemia 70–90 Endocarditis caused by Bartonella species and the agent of Q fever, C. burnetii, is exceptionally indolent. Table 118- 2 ... C. burnetii, is exceptionally indolent. Table 118- 2 Clinical and Laboratory Features of Infective Endocarditis Feature Frequency, % Fever 80–90 Chills and sweats 40–75 Anor...

Ngày tải lên: 07/07/2014, 04:20

... Osler's nodes, Roth's spots, rheumatoid factor Chapter 118. Infective Endocarditis (Part 5) Diagnosis The Duke Criteria The diagnosis of infective endocarditis is established with ... organism consistent with infective endocarditis a Tra nsesophageal echocardiography is recommended for assessing possible prosthetic valve endocarditis or complicated e...

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... 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...

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... 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

... 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

... 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...

Ngày tải lên: 07/07/2014, 04:20