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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

Endocarditis I: Introduction

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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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Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

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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...
31
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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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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Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

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Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
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Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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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...
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Triple-Valve Infective Endocarditis: A Case with Unusual Features.

Inês Oliveira1, Gisela Vasconcelos2, Bruno Bragança1

  • 1Cardiology Department, Centro Hospitalar Tâmega e Sousa, Penafiel, Portugal.

European Journal of Case Reports in Internal Medicine
|May 6, 2022
PubMed
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This case report details a rare instance of triple-valve infective endocarditis caused by Streptococcus gallolyticus in an elderly woman. Despite aggressive treatment, the patient succumbed, underscoring the severity of this uncommon condition.

Keywords:
Streptococcus gallolyticusTriple-valve endocarditisinfective endocarditis

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Internal Medicine

Background:

  • Infective endocarditis (IE) typically affects a single heart valve and is associated with significant morbidity and mortality.
  • Streptococcus gallolyticus is a known pathogen in IE, often linked to gastrointestinal pathology.

Purpose of the Study:

  • To report an extremely rare case of native triple-valve endocarditis.
  • To highlight the diagnostic and therapeutic challenges posed by uncommon IE presentations.

Main Methods:

  • Case presentation of a 76-year-old woman with infective endocarditis.
  • Review of clinical course, complications, and treatment outcomes.

Main Results:

  • The patient presented with triple-valve endocarditis due to Streptococcus gallolyticus.
  • Complications included perivalvular suppurative lesions, acute heart failure, and acute kidney injury.
  • The patient died despite antibiotic therapy and emergent surgery.

Conclusions:

  • Native triple-valve endocarditis is exceptionally rare, particularly without predisposing factors.
  • Gastrointestinal endoscopy is crucial for identifying potential sources of Streptococcus gallolyticus bacteremia.
  • Early surgical intervention and prompt diagnosis are critical for improving prognosis in multivalvular endocarditis.