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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...
687
Endocarditis I: Introduction01:25

Endocarditis I: Introduction

651
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...
651
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...
299
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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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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Myocarditis I: Introduction01:21

Myocarditis I: Introduction

526
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...
526
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

717
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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Endocarditis and monocular blindness.

Jack Andrews1,2, Shyamanga Borooah3

  • 1Department of Cardiovascular Sciences, University of Edinburgh, Edinburgh, Lothian, UK.

BMJ Case Reports
|November 1, 2016
PubMed
Summary
This summary is machine-generated.

A 77-year-old man developed vision loss due to endogenous endophthalmitis, a rare complication of Enterococcus faecalis mitral valve endocarditis. Despite prompt treatment, sight did not recover, highlighting the severity of this condition.

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Area of Science:

  • Infectious Diseases
  • Cardiology
  • Ophthalmology

Background:

  • Postrenal transplant lymphoproliferative disease presents unique challenges in immunocompromised patients.
  • Mitral valve endocarditis is a serious cardiac infection requiring prompt diagnosis and treatment.

Observation:

  • A 77-year-old male with postrenal transplant lymphoproliferative disease presented with fever and a heart murmur.
  • Blood cultures revealed Enterococcus faecalis, leading to a diagnosis of mitral valve endocarditis.

Findings:

  • The patient developed endogenous endophthalmitis secondary to bacteremic spread from endocarditis.
  • Despite intravitreal and systemic antibiotic treatment, irreversible monocular visual loss occurred.

Implications:

  • Endogenous endophthalmitis is a rare but severe complication of infective endocarditis, often leading to significant visual impairment.
  • Early recognition and aggressive treatment are crucial for potentially improving outcomes in cases of endocarditis-related endophthalmitis.