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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

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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...
866
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

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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...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

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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...
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Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

611
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...
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Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

999
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
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Pericarditis I: Introduction01:22

Pericarditis I: Introduction

714
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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Sterile Pericarditis in Aachener Minipigs As a Model for Atrial Myopathy and Atrial Fibrillation
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Aggregatibacter aphrophilus pacemaker endocarditis: a case report.

Sahil R Patel, Nishi H Patel1, Amit Borah

  • 1Department of Internal Medicine, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA. npatel11@drexelmed.edu.

BMC Research Notes
|December 10, 2014
PubMed
Summary
This summary is machine-generated.

This case report details the first instance of Aggregatibacter aphrophilus endocarditis in a patient with a pacemaker. Poor dentition and lead manipulation were identified as potential risk factors, emphasizing the need for vigilance in pacemaker patients.

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Area of Science:

  • Infectious Diseases
  • Cardiology
  • Medical Case Reports

Background:

  • Aggregatibacter bacteria, part of the HACEK group, are infrequent causes of adult endocarditis.
  • Few Aggregatibacter endocarditis cases in patients with pacemakers have been documented.
  • This study focuses on Aggregatibacter aphrophilus, a species within the Aggregatibacter genus.

Observation:

  • A 62-year-old male with a pacemaker presented with symptoms of endocarditis, including fever, weight loss, and fatigue.
  • Blood cultures confirmed Aggregatibacter aphrophilus infection.
  • Echocardiography revealed vegetations on the tricuspid valve and pacemaker lead.

Findings:

  • This represents the first reported case of Aggregatibacter aphrophilus endocarditis in a patient with a permanent pacemaker.
  • The patient received a six-week course of intravenous ceftriaxone.
  • Successful treatment involved device removal, temporary pacing, and subsequent placement of a new permanent pacemaker.

Implications:

  • Repeated pacemaker lead manipulation may contribute to valvulopathies, increasing endocarditis risk.
  • Early identification and standard treatment are crucial for managing rare endocarditis causes in pacemaker patients.
  • This case underscores the importance of considering rare pathogens in pacemaker-associated endocarditis.