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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...
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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

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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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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Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

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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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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction
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Lactobacillus rhamnosus Endocarditis After Upper Endoscopy.

Justin G Aaron1, Magdalena E Sobieszczyk1, Shepard D Weiner2

  • 1Division of Infectious Diseases, Department of Medicine.

Open Forum Infectious Diseases
|July 12, 2017
PubMed
Summary
This summary is machine-generated.

Lactobacillus rhamnosus, a common probiotic, rarely causes human infection. This case highlights Lactobacillus rhamnosus endocarditis after an upper endoscopy in a yogurt consumer, necessitating valve replacement.

Keywords:
LactobacillusLactobacillus rhamnosusendocarditisendoscopyyogurt

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Cardiology

Background:

  • Lactobacillus rhamnosus is a commensal bacterium of the gastrointestinal tract.
  • It is widely utilized as a probiotic due to its perceived health benefits.
  • While generally regarded as safe, Lactobacillus rhamnosus is an opportunistic pathogen in rare instances.

Purpose of the Study:

  • To report a rare case of Lactobacillus rhamnosus endocarditis.
  • To describe the clinical presentation and management of this infection.
  • To discuss potential risk factors and implications for patients consuming probiotic-rich foods.

Main Methods:

  • Case report detailing a patient's clinical course.
  • Review of patient history, including upper endoscopy and dietary habits (yogurt consumption).
  • Documentation of diagnostic findings and treatment interventions, including surgical valve replacement.

Main Results:

  • Lactobacillus rhamnosus endocarditis developed post-upper endoscopy.
  • The patient was a frequent consumer of yogurt containing Lactobacillus rhamnosus.
  • Aortic and mitral valve replacement was required for successful treatment.

Conclusions:

  • Lactobacillus rhamnosus can be a cause of infective endocarditis, albeit rarely.
  • Procedures like upper endoscopy may present a risk for translocation of gut flora.
  • Awareness of Lactobacillus rhamnosus as a potential pathogen is important, especially in at-risk individuals.