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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

252
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...
252
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

230
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...
230
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

124
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...
124
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

181
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...
181
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

272
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
272
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

259
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...
259

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Related Experiment Video

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Experimental Endocarditis Model of Methicillin Resistant Staphylococcus aureus MRSA in Rat
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Embolic serratia aortic valve endocarditis.

Sagy Grinberg1, Eliahu Bishburg1, Sandhya R Nagarakanti1

  • 1Department of Medicine, Division of Infectious Diseases, Newark Beth Israel Medical Center, Newark, NJ, United States.

Idcases
|October 19, 2020
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Summary

Infective endocarditis caused by Serratia marcescens is rare and typically occurs in severely immunocompromised individuals. Prompt diagnosis and aggressive treatment are crucial due to the high mortality associated with this infection.

Keywords:
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Area of Science:

  • Infectious Diseases
  • Cardiology
  • Microbiology

Background:

  • Infective endocarditis is a serious infection affecting heart valves.
  • Serratia marcescens is an opportunistic pathogen.
  • Infection by Serratia marcescens is rarely associated with endocarditis, especially in immunocompromised patients.

Purpose of the Study:

  • To highlight the rarity and severity of Serratia marcescens-induced infective endocarditis.
  • To emphasize the association with severe immunosuppression.
  • To recommend early diagnosis and aggressive treatment strategies.

Main Methods:

  • Literature review on Serratia marcescens endocarditis.
  • Analysis of clinical case reports and outcomes.
  • Review of diagnostic and therapeutic guidelines.

Main Results:

  • Serratia marcescens endocarditis is exceptionally uncommon.
  • The condition predominantly affects patients with profound immune deficiencies.
  • High mortality rates are characteristic of this infection.

Conclusions:

  • Serratia marcescens endocarditis, though rare, represents a critical clinical challenge.
  • Early recognition and prompt, aggressive management are essential for improving patient survival.
  • Vigilance is required in immunocompromised populations presenting with signs of endocarditis.