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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

78
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...
78
Myocarditis II: Clinical Features and Diagnostic Tests01:27

Myocarditis II: Clinical Features and Diagnostic Tests

49
Myocarditis is an inflammation of the heart muscle. The symptoms vary widely, encompassing asymptomatic presentations to severe, acute manifestations.Clinical PresentationAsymptomatic cases: In some instances, myocarditis may be asymptomatic, with the infection resolving without intervention. These cases often go undetected unless discovered incidentally through diagnostic imaging or tests conducted for other reasons.General Early Symptoms: Early symptoms of myocarditis are non-specific and can...
49
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

50
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...
50
Myocarditis I: Introduction01:21

Myocarditis I: Introduction

83
Myocarditis is inflammation of the myocardium, which is the muscular layer of the heart.EtiologyMyocarditis has a diverse etiology, including a wide range of infectious and non-infectious causes:Infectious CausesViral: Common viruses include Coxsackie A and B, adenovirus, parvovirus B19, enteroviruses, and influenza A.Bacterial: Examples include infections caused by Streptococcus, Staphylococcus, and Mycoplasma species.Rickettsial: Infections like Rocky Mountain spotted fever can result in...
83
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

93
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...
93
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

51
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...
51

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Related Experiment Video

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Isolation and Characterization of Cardiac Mesenchymal Stromal Cells from Endomyocardial Bioptic Samples of Arrhythmogenic Cardiomyopathy Patients
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Emphysematous myocardial abscess without infective endocarditis.

Jino Park1, Sang-Hoon Seol1, Yeo-Jeong Song1

  • 1Department of Internal Medicine Division of Cardiology Haeundae Paik Hospital University of Inje College of Medicine Busan Korea.

Clinical Case Reports
|August 25, 2021
PubMed
Summary

Diagnosing myocardial abscess without endocarditis requires high clinical suspicion. Transesophageal echocardiography (TEE) is crucial, and CT scans can aid in identifying emphysematous changes.

Keywords:
Escherichia coliemphysematousmyocardial abscess

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Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Myocardial abscesses, particularly those without concurrent endocarditis, present diagnostic challenges.
  • Early and accurate diagnosis is critical for effective patient management and improved outcomes.

Purpose of the Study:

  • To highlight the diagnostic difficulties of myocardial abscess in the absence of endocarditis.
  • To emphasize the importance of clinical suspicion and advanced imaging modalities.

Main Methods:

  • Review of clinical cases and diagnostic imaging findings.
  • Analysis of the utility of transesophageal echocardiography (TEE) and computed tomography (CT).

Main Results:

  • Diagnosis is often delayed due to non-specific symptoms.
  • Transesophageal echocardiography (TEE) is essential for ruling out myocardial abscess.
  • Computed tomography (CT) can be particularly useful in cases with emphysematous morphology.

Conclusions:

  • A high index of clinical suspicion is paramount for diagnosing myocardial abscess without endocarditis.
  • Transesophageal echocardiography (TEE) should be performed before excluding the diagnosis.
  • CT imaging offers valuable adjunctive information, especially for emphysematous abscesses.