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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

178
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...
178
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

98
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...
98
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

152
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...
152
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

155
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...
155
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

199
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...
199
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

209
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...
209

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Experimental Endocarditis Model of Methicillin Resistant Staphylococcus aureus MRSA in Rat
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Late Prosthetic Valve Infective Endocarditis by Enterococcus durans.

Mohammed Al Shehri1, Muhammad Samsoor Zarak1, Arif R Sarwari2

  • 1Department of Internal Medicine, West Virginia University School of Medicine, Morgantown, West Virginia, USA.

Journal of Global Infectious Diseases
|December 21, 2020
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Summary

Enterococcus durans is a rare cause of infective endocarditis. This case highlights the challenges in managing late prosthetic valve endocarditis, even with medical intervention.

Keywords:
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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Infective endocarditis is a serious infection affecting heart valves.
  • Prosthetic valve endocarditis presents unique diagnostic and therapeutic challenges.
  • Enterococcus species are uncommon pathogens in infective endocarditis.

Observation:

  • A 56-year-old female patient developed late prosthetic valve infective endocarditis.
  • The infection involved a mechanical mitral valve prosthesis.
  • The patient presented with symptoms indicative of severe cardiac compromise.

Findings:

  • Enterococcus durans was identified as the causative organism.
  • The patient's condition deteriorated despite medical management.
  • The case represents a rare instance of E. durans causing prosthetic valve endocarditis.

Implications:

  • This case underscores the critical need for vigilance in diagnosing and treating prosthetic valve endocarditis.
  • E. durans should be considered in the differential diagnosis of prosthetic valve endocarditis, albeit rare.
  • Failure of medical management highlights potential limitations and the need for further research into optimal treatment strategies.