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Related Concept Videos

Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
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Atypical Pneumonia

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Pericarditis I: Introduction01:22

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Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...

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Related Experiment Video

Updated: Jul 8, 2026

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
08:25

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling

Published on: April 7, 2015

Pacemaker infection with propionibacterium and a nephritic sediment.

M Kimmel1, U Kuhlmann, D M Alscher

  • 1Department of General Internal Medicine and Nephrology, Robert Bosch Hospital, Stuttgart, Germany. vm.kimmel@t-online.de

Clinical Nephrology
|January 26, 2008
PubMed
Summary

Propionibacterium pacemaker infections, though rare, can cause serious kidney issues like glomerulonephritis. Prompt diagnosis and antibiotic treatment are crucial for recovery, even with unusual bacterial culprits.

Related Experiment Videos

Last Updated: Jul 8, 2026

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
08:25

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling

Published on: April 7, 2015

Area of Science:

  • Cardiology
  • Nephrology
  • Infectious Diseases

Background:

  • Pacemaker infections are known complications of implanted cardiac devices.
  • Staphylococcus species are the most common pathogens, while Propionibacterium is rarely implicated (1%).
  • Infections can lead to systemic complications, including kidney disease.

Observation:

  • A young female patient with a pacemaker presented with nephritic sediment and hypocomplementemia.
  • Initial blood cultures positive for Propionibacterium were dismissed as contamination.
  • Transesophageal ultrasound revealed a vegetation on a pacemaker lead.

Findings:

  • Despite initial skepticism, persistent positive blood cultures confirmed Propionibacterium infection.
  • Treatment with clindamycin resolved the infection, normalizing complement levels and blood cultures.
  • Immune complex glomerulonephritis was diagnosed secondary to the pacemaker infection.

Implications:

  • This case highlights the importance of considering rare pathogens in pacemaker infections.
  • Propionibacterium pacemaker infections can lead to significant renal complications like glomerulonephritis.
  • Prompt diagnosis and treatment are essential to prevent severe outcomes and avoid unnecessary procedures like renal biopsy.