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Related Concept Videos

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 I: Introduction01:25

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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...
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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 IV: Nursing Management01:29

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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 II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Myocarditis II: Clinical Features and Diagnostic Tests01:27

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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...
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Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
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Streptococcus bovis endocarditis: Update from a multicenter registry.

Carmen Olmos1, Isidre Vilacosta1, Cristina Sarriá2

  • 1Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain.

American Heart Journal
|December 25, 2015
PubMed
Summary
This summary is machine-generated.

Streptococcus bovis infective endocarditis (IE) is linked to colon tumors and affects patients without prior valve disease, showing fewer complications. In-hospital mortality for S bovis IE is comparable to viridans group streptococci IE.

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Area of Science:

  • Infectious Diseases
  • Cardiology
  • Gastroenterology

Background:

  • Infective endocarditis (IE) caused by Streptococcus bovis traditionally affects older patients with high embolic risk.
  • This study compares the clinical profile and prognosis of S bovis IE with viridans group streptococci and enterococci IE.

Purpose of the Study:

  • To analyze the current clinical characteristics and outcomes of S bovis IE.
  • To compare S bovis IE with IE caused by viridans group streptococci and enterococci.

Main Methods:

  • A prospective analysis of 1242 consecutive IE episodes.
  • Study groups included S bovis IE (n=47), viridans group streptococci IE (n=134), and enterococci IE (n=113).

Main Results:

  • Enterococci IE incidence increased significantly, while S bovis and viridans streptococci IE remained stable.
  • S bovis IE patients were older, more frequently had diabetes mellitus, and had infections on native valves, with a high prevalence of colonic tumors (69%).
  • S bovis IE had smaller vegetations and lower in-hospital complications and mortality compared to enterococci IE.

Conclusions:

  • S bovis IE, accounting for 3.8% of episodes, is associated with colonic tumors and affects patients without pre-existing valve disease.
  • S bovis IE presents with small vegetations and a low rate of complications, including systemic embolisms.
  • In-hospital mortality for S bovis IE is similar to that observed for viridans group streptococci IE.