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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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Changes in the environment of the early Earth drove the evolution of organisms. As prokaryotic organisms in the oceans began to photosynthesize, they produced oxygen. Eventually, oxygen saturated the oceans and entered the air, resulting in an increase in atmospheric oxygen concentration, known as the oxygen revolution approximately 2.3 billion years ago. Therefore, organisms that could use oxygen for cellular respiration had an advantage. More than 1.5 years ago, eukaryotic cells and...
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Endocarditis III: Medical Management01:18

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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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Although digestion of proteins, carbohydrates, and lipids may begin in the stomach, it is completed in the intestine. The absorption of nutrients, water, and electrolytes from food and drink also occurs in the intestine. The intestines can be divided into two structurally distinct organs—the small and large intestines.
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A Murine Model of Group B Streptococcus Vaginal Colonization
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Streptococcus bovis Endocarditis after Colonic Polypectomy.

Napohn Chongprasertpon1, Ronan Cusack1, J J Coughlan1

  • 1Department of Cardiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland.

European Journal of Case Reports in Internal Medicine
|June 4, 2019
PubMed
Summary
This summary is machine-generated.

A rare case of Streptococcus lutetiensis infective endocarditis occurred post-colonic polypectomy in a patient with mitral valve issues. Prompt treatment with antibiotics and surgery led to successful recovery.

Keywords:
Infective endocarditisStreptococcus boviscolonic polypectomy

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Infective endocarditis (IE) is a serious infection of the heart valves.
  • Gastrointestinal endoscopy, including colonic polypectomy, can rarely lead to IE.
  • Patients with pre-existing heart conditions are at higher risk.

Purpose of the Study:

  • To report an uncommon case of IE caused by Streptococcus lutetiensis after colonic polypectomy.
  • To highlight the importance of clinical suspicion for IE in at-risk patients post-procedure.
  • To review the literature on Streptococcus bovis group IE.

Main Methods:

  • Case report detailing a patient's clinical presentation, diagnosis, and management.
  • Transoesophageal echocardiography for diagnosis.
  • Literature review of Streptococcus bovis group IE.

Main Results:

  • A patient developed IE due to Streptococcus lutetiensis following colonic polypectomy.
  • The patient had risk factors including mitral valve prolapse and regurgitation.
  • Diagnosis was confirmed by echocardiography showing a mitral valve mass.
  • Successful treatment involved intravenous antibiotics and mitral valve surgery.

Conclusions:

  • IE associated with gastrointestinal endoscopy is rare but warrants clinical suspicion, especially in high-risk patients.
  • Prophylactic antibiotics are not recommended for routine gastrointestinal endoscopic procedures.
  • Early diagnosis and appropriate management are crucial for favorable outcomes.