Chapter 118 Infective Endocarditis (Part 12) ppsx
Chapter 118. Infective Endocarditis (Part 12) ppsx
... heart
block may require insertion of a pacemaker.
Uncontrolled Infection
Chapter 118. Infective Endocarditis
(Part 12)
Antibiotic Therapy after Cardiac Surgery
Bacteria visible in Gram-stained ... bacilli, Brucella species, and
probably C. burnetii.
S. aureus Endocarditis
Mortality rates for S. aureus prosthetic valve endocarditis exceed 70% with
medical treatment b...
Chapter 118. Infective Endocarditis (Part 14) ppsx
...
(http://www.americanheart.org/presenter.jhtml?identifier=3047083)
Chapter 118. Infective Endocarditis
(Part 14)
Antibiotic prophylaxis, if 100% effective, likely prevents only a small
number of cases of endocarditis; nevertheless, ... modifications to the Duke criteria for the diagnosis of
infective endocarditis. Clin Infect Dis 30:633, 2000 [PMID: 10770721]
Moreillon P...
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 ...
"Echocardiography," below).
Table 118- 1 Organisms Causing Major Clinical Forms of Endocarditis
Percent of Cases
Native
Valve Endocarditis
Prosthet...
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...