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Related Concept Videos

Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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...
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 III: Medical Management01:18

Endocarditis III: Medical Management

Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...

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Related Experiment Video

Updated: Jun 24, 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

[Splenic infarction in endocarditis: case report].

S Luncă1, D Păduraru, S N Romedea

  • 1Universitatea de Medicină si Farmacie Gr T Popa Iaşi Facultatea de Medicină linica de Urgenţe Chirurgicale.

Revista Medico-Chirurgicala a Societatii De Medici Si Naturalisti Din Iasi
|March 20, 2009
PubMed
Summary

Splenic infarction is a rare complication of infectious endocarditis, often caused by septic embolization. Early suspicion and diagnosis are crucial for effective management, which may include antibiotics or surgery.

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Radiology

Background:

  • Splenic infarction is an uncommon condition with diverse etiologies.
  • Infectious endocarditis can manifest with splenic involvement, including infarction or abscess.
  • Clinical presentation is often nonspecific, delaying diagnosis.

Observation:

  • A 67-year-old male with infectious endocarditis developed splenic infarction secondary to septic embolization.
  • Diagnosis was confirmed via abdominal CT scan.
  • Initial conservative management with antibiotics was followed by splenectomy due to persistent symptoms and suspected abscess.

Findings:

  • Septic embolization from infected endocardium is a cause of splenic infarction.
  • Distinguishing splenic infarction from abscess can be challenging with imaging alone, often requiring histopathology.
  • Left upper quadrant pain with inflammatory signs warrants suspicion for splenic infarction, especially in patients with a history of thromboembolic disease.

Implications:

  • Splenic infarction requires high clinical suspicion in relevant patient populations.
  • Surgical intervention, such as splenectomy, may be indicated for unfavorable clinical courses or suspected abscess formation.
  • This case highlights the importance of considering splenic infarction in infectious endocarditis and the diagnostic challenges involved.