Chapter 118 Infective Endocarditis (Part 11) doc

... is lacking. This category includes infections caused by yeasts, fungi, P. Chapter 118. Infective Endocarditis (Part 11) Intracardiac Surgical Indications Most surgical interventions are ... S. aureus endocarditis, respectively. Recrudescent endocarditis involving a new implanted prosthetic valve follows surgery in 2% of patients with culture-positive native valve endoca...

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

... 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 only ... organism consistent with infective endocarditis a Tra nsesophageal echocardiography is recommended for assessing possible prosthetic valve endocarditis or complicated...

Ngày tải lên: 07/07/2014, 04:20

... 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

... 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). The risks...

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, ... S. aureus endocarditis, respectively. Recrudescent endocarditis involving a new implanted prosthetic valve follows surgery in 2% of patients with culture-positive native valve endocarditis ... devel...

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

... 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 ... clinical features of endocarditis are nonspecific. However, these symptoms in a febrile patient with valvular abnormalities or a behavior pattern that predisposes to endocarditis (e...

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, ... the left side of the heart presents with the typical clinical features of endocarditis. Health care–associated endocarditis (defined as that which is nosocomial, arises after recent hospi...

Ngày tải lên: 07/07/2014, 04:20

... undergo surgery for endocarditis. Infective Endocarditis: Treatment Antimicrobial Therapy It is difficult to eradicate bacteria from the avascular vegetation in infective endocarditis because ... per inch over 5 feet). Chapter 118. Infective Endocarditis (Part 7) Experts favor echocardiographic evaluation of all patients with a clinical diagnosis of endocarditis; ho...

Ngày tải lên: 07/07/2014, 04:20