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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 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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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

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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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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Bacterial Endocarditis Following Deep Enteroscopy: Is Prophylaxis Warranted?

Samson Ferm1, Michael K Siu1, Minar Chhetry1

  • 1Department of Internal Medicine, New York Presbyterian-Queens, Flushing, NY.

ACG Case Reports Journal
|December 14, 2019
PubMed
Summary
This summary is machine-generated.

Bacterial endocarditis after gastrointestinal endoscopy is rare. This report details the first case of enterococcal endocarditis following double-balloon enteroscopy in a patient with primary biliary cholangitis.

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Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Cardiology

Background:

  • Bacterial endocarditis following gastrointestinal endoscopic procedures is exceptionally uncommon.
  • Antibiotic prophylaxis is typically not recommended for routine endoscopic interventions, except for select high-risk individuals.
  • Double-balloon enteroscopy (DBE) is a widely utilized technique for small bowel examination.

Observation:

  • A rare instance of bacterial endocarditis was observed.
  • The condition occurred subsequent to a double-balloon enteroscopy (DBE).
  • The affected individual had a history of stage 1 primary biliary cholangitis.

Findings:

  • This case represents the first documented instance of enterococcal endocarditis linked to double-balloon enteroscopy (DBE).
  • The patient's pre-existing condition was stage 1 primary biliary cholangitis.
  • The specific pathogen identified was Enterococcus species.

Implications:

  • This case highlights a potential, albeit rare, complication of double-balloon enteroscopy.
  • It suggests that patients with specific comorbidities, such as primary biliary cholangitis, might warrant consideration for tailored prophylactic strategies.
  • Further investigation into the risk factors and preventative measures for endocarditis after DBE may be necessary.