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Related Concept Videos

Endocarditis I: Introduction01:25

Endocarditis I: Introduction

19
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...
19
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

21
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...
21
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

11
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...
11
Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

22
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...
22
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

25
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...
25
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

16
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
16

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Experimental Endocarditis Model of Methicillin Resistant Staphylococcus aureus MRSA in Rat
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Enterococcus faecalis endocarditis resulting in annular rupture: a case report.

Ryaan El-Andari1, Jimmy Jh Kang1, Vinod K Manikala1

  • 1Division of Cardiac Surgery, Department of Surgery, University of Alberta, Edmonton, AL, T6G 2B7, Canada.

Future Cardiology
|February 14, 2023
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Summary

Enterococcus faecalis infective endocarditis can cause rare complications like contained annular rupture. This case highlights a novel complication and its surgical management.

Keywords:
Enterococcus faecalisannular ruptureaortic valveendocarditis

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Area of Science:

  • Cardiology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Enterococcus faecalis is a common cause of infective endocarditis, associated with significant morbidity and mortality.
  • Infective endocarditis due to E. faecalis typically presents with subacute symptoms and can lead to embolic events, abscesses, and pseudoaneurysms.

Observation:

  • A 62-year-old male presented with symptoms consistent with E. faecalis infective endocarditis.
  • The patient developed a contained annular rupture, a complication not previously reported in the literature for this condition.

Findings:

  • The case details the clinical presentation and diagnostic findings of E. faecalis infective endocarditis with contained annular rupture.
  • Surgical intervention was successfully performed to manage this unusual cardiac complication.

Implications:

  • This case expands the known spectrum of complications associated with Enterococcus faecalis infective endocarditis.
  • Highlights the importance of considering rare complications and the role of surgical management in complex endocarditis cases.