endocarditis case presentation ppt

Possible endocarditis is defined as the presence of one major and one or two minor criteria, or three minor criteria.4. 2) Acetazolamida. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Intravenous catheters should be removed promptly after antibiotic therapy is complete. information and will only use or disclose that information as set forth in our notice of 2002/04 Flank pain or RUQ pain. Treatments for endocarditis include medications and surgery. ???? - Patient states was doing well until 1-2d after recent colonoscopy/bx for hx heme stools. J. San Romn, I. Vilacosta, J. Zamorano, C. Almera, and L. Snchez-Harguindey, Transesophageal echocardiography in right-sided endocarditis, Journal of the American College of Cardiology, vol. S. Piran, P. Rampersad, D. Kagal, L. Errett, and H. Leong-Poi, Extensive fulminant multivalvular infective endocarditis, JACC: Cardiovascular Imaging, vol. Aorta, aneurysmal sacs, other blood vessels. Definition : Infective endocarditis is characterized by colonization or invasion of the heart valves or the mural endocardium by a microbe, leading to the formation of bulky friable vegetations composed of thromb and organisms, often associated with destruction of the underlying cardiac tissues. Here, we report a case of a patient with a known history of IVDU who presented with clinical symptoms concerning for right- as well as left-sided endocarditis. The Kitten Lab. Jeff Elhai, BBSI participants, faculty and staff ENDOCARDITIS/PERICARDITIS Acquired Inflammatory Diseases of the Heart. An 81-year-old Middle Eastern male patient with unremarkable medical family history and with DM, hypertension, and multinodular goiter as past medical history was admitted to our hospital three times over a period of 2 months for fever and cough (Table (Table1). To the best of our knowledge, only five previous cases have been reported where patients with IVDU had bilateral cardiac IE. https://www.uptodate.com/contents/search. Blood Culture-Negative Endocarditis: Historical and Future Perspectives Tracy Lemonovich, MD Clinical Instructor, Department of Medicine UH Case Medical Center. other information we have about you. ENDOCARDITIS Antibiotic prophylaxis prior to dental procedures. Infective Endocarditis (IE). Guideline Hub | Valvular Heart Disease, Keywords: Anticoagulants, Fibrinolytic Agents, Platelet Aggregation Inhibitors, Aortic Valve Insufficiency, Aortic Valve Stenosis, Aortic Valve, Aortic Diseases, Perioperative Period, Cardiac Catheterization, Cardiac Imaging Techniques, Magnetic Resonance Imaging, Cardiovascular Surgical Procedures, Diagnostic Techniques, Cardiovascular, Drug Therapy, Echocardiography, Endocarditis, Exercise Test, Diagnostic Imaging, Angiography, Hemodynamics, Mitral Valve Stenosis, Mitral Valve Insufficiency, Heart Murmurs, Mitral Valve, Pregnancy, Heart Valve Prosthesis, Decision Making, Heart Valve Diseases, Heart Defects, Congenital, Patient Care Team, Thromboembolism, Thrombosis, Transcatheter Aortic Valve Replacement, Heart Valve Prosthesis Implantation, Catheters, Echocardiography, Transesophageal, Tricuspid Valve. There was also a 0.8cm vegetation on the noncoronary cusp of the aortic valve with only mild aortic insufficiency. See permissionsforcopyrightquestions and/or permission requests. Early PVE - More than one-half of all IE cases in the United States now were confirmed pathologically 12 of the pathologically confirmed cases were 'rejected' - RHEUMATISM, INFECTIVE ENDOCARDITIS Prof. Vatutin N.T. 4, pp. CASE PRESENTATION : PYREXIA OF UNKNOWN ORIGIN / Hemophagocytic lymphohistioc Case Presentation On Respiratory Medicine, Stanley Medical College, Department of Medicine, Clinical Cases Study Infective endocarditis, Case presentation on infective endocarditis, Endocarditis - Interesting Case Presentation, Right sided valve infective endocarditis by dr adeel, Myocardial Infarction - Case Presentation and an Overview, Congestive Heart Failure Case Presentation, Case presentation on Acute Ischemic stroke, 2015 ESC Guidelines on Infective Endocarditis ppt. Sign up for free, and stay up to date on research advancements, health tips and current health topics, like COVID-19, plus expertise on managing health. American Dental Association. It appears that you have an ad-blocker running. 2018; doi:10.1007/s11886-018-1043-2. 2017; doi:10.1016/j.jacc.2016.10.066. You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. All Rights Reserved. Two separate blood cultures positive for microorganism consistent with infectious endocarditis (viridans, Recovery of a microorganism consistent with infectious endocarditis from blood cultures drawn more than 12 hours apart, Recovery of a microorganism consistent with infectious endocarditis from all of three or most of four or more blood cultures, with first and last drawn more than one hour apart, Positive echocardiography (oscillating intracardiac mass on valve or supporting structures, or in the path of regurgitant jets, or on implanted material in the absence of an alternative anatomic explanation; intracardiac abscess; new partial dehiscence of prosthetic valve), New valvular regurgitation (increase or change in preexisting murmur not sufficient), Immunologic phenomena: glomerulonephritis, Osler nodes, Roth spots, rheumatoid factor, Microbiologic evidence: positive blood culture that does not meet major criteria, serologic evidence of active infection with organism consistent with infectious endocarditis, Predisposing heart condition or history of injection drug use, Vascular phenomena: major arterial emboli, septic pulmonary infarctions, mycotic aneurysm, intracranial hemorrhage, conjunctival hemorrhages, Janeway lesions, Penicillin G or ceftriaxone (Rocephin) for four weeks, Penicillin G plus gentamicin for two weeks, Ceftriaxone plus gentamicin for two weeks, Penicillin G or ceftriaxone for four weeks, plus gentamicin for two weeks, Ampicillin plus gentamicin for four to six weeks, Penicillin G plus gentamicin for four to six weeks, Nafcillin or oxacillin for six weeks, plus gentamicin for three to five days (optional), Cefazolin for six weeks, plus gentamicin for three to five days (optional), Penicillin plus gentamicin for four to six weeks, Ampicillin or penicillin plus streptomycin for four to six weeks, Vancomycin plus streptomycin for six weeks, Ampicillin/sulbactam (Unasyn) plus gentamicin for a minimum of six weeks, Amoxicillin (adults: 2 g; children: 50 mg per kg) taken orally one hour before procedure, Ampicillin (adults: 2 g; children: 50 mg per kg) IM or IV within 30 minutes of procedure, Clindamycin (adults: 600 mg; children: 20 mg per kg) or azithromycin (Zithromax) or clarithromycin (Biaxin; adults: 500 mg; children: 15 mg per kg) taken orally one hour before procedure, Penicillin allergy and unable to take oral medications, Clindamycin (adults: 600 mg; children: 20 mg per kg) IV within 30 minutes of procedure, Penicillin allergy (not anaphylaxis, angioedema, or urticaria), Cefazolin (adults: 1 g; children: 50 mg per kg) IM or IV or cephalexin (Keflex; adults: 2 g; children: 50 mg per kg) taken orally. Otherwise it is hidden from view. 992994, 2016. Many are downloadable. Microbiological diagnosis Positive blood cultures are vital in establishing a diagnosis of IE and provide organisms for identification and susceptibility testing. - Endocarditis Jim Czarnecki, D.O. Left heart failure. 2023 American College of Cardiology Foundation. However, bacteria on the skin or in the mouth, throat or gut (intestines) may enter the bloodstream and cause endocarditis under the right circumstances. During the current admission, the patients Glasgow coma scale was 13 on presentation. 4143, 2018. Fulminant; cardiac dilation, heart failure, arrhythmias, death - Bacterium-endothelium interaction with bacterial attachment and invasion of endothelial cells 'innocent' heart murmur by auscultation in the pediatric population ' - Update on Infective Endocarditis Larry Baddour, MD University of Tennessee Pathogenesis Disruption of the endocardial layer as a complication of abnormal blood flow - Amen Corner: Endocarditis Prophylaxis Jimmy Klemis, MD Cardiology Conference April 18 2002 Case Presentation 60 M admitted for 5 wk history of not feeling well INFECTIVE ENDOCARDITIS and valvular vegetations. Accessed May 6, 2022. Endocarditis should be suspected in any patient with unexplained fevers, night sweats, or signs of systemic illness, particularly if any of the following risk factors are present1: a prosthetic heart valve, structural or congenital heart disease, intravenous drug use, and a recent history of invasive procedures (e.g., wound care, hemodialysis). F. A. Dressler and W. C. Roberts, Infective endocarditis in opiate addicts: analysis of 80 cases studied at necropsy, The American Journal of Cardiology, vol. Valve replacement should be considered in selected patients with infectious endocarditis. Extended intravenous drug use (IVDU) is a known risk factor for infective endocarditis (IE) [1]. Infectious Diseases: A Case Study Approach. - Ping Xu and Todd Kitten. The SlideShare family just got bigger. 1, 137 pages, 2006. This is an open access article distributed under the, https://www-ncbi-nlm-nih-gov.proxy.kumc.edu/pmc/articles/PMC1767660/pdf/hrt08900577.pdf. Flu-like symptoms, such as fever and chills, A new or changed whooshing sound in the heart (murmur), Tenderness under the left rib cage (spleen), Painless red, purple or brown flat spots on the soles bottom of the feet or the palms of the hands (Janeway lesions), Painful red or purple bumps or patches of darkened skin (hyperpigmented) on the tips of the fingers or toes (Osler nodes), Tiny purple, red or brown round spots on the skin (petechiae), in the whites of the eyes or inside the mouth, Pockets of collected pus (abscesses) that develop in the heart, brain, lungs and other organs, Blood clot in a lung artery (pulmonary embolism), Certain types of congenital heart disease, Congenital heart disease surgery in the last six months. 787789, 2009. The SlideShare family just got bigger. When present, it has the potential to cause severe hemodynamic decompensation and death. When bad things just wont go away MRSA Endocarditis, - When bad things just won t go away MRSA Endocarditis David R Boulware MD Infectious Disease & Int l Medicine Fellow University of Minnesota, Infecciones producidas por bacterias grampositivas: Neumona, bacteriemia, endocarditis, osteomieliti. . If you are suffering from heart disease and are looking for Best cardiologist In Indore, then visit Apollo Hospitals. Save figures into PowerPoint; Download tables as PDFs; . What other risk factors would you assess E.F. for? In addition, we also discuss what should be considered adequate evaluation for patients with suspected endocarditis, and more specifically, what should be the role of transesophageal echocardiography in patients with IE noted on transthoracic echocardiography. Free access to premium services like Tuneln, Mubi and more. The Patient. See Also: E. Ruotsalainen, K. Sammalkorpi, J. Laine et al., Clinical manifestations and outcome in Staphylococcus aureus endocarditis among injection drug users and nonaddicts: a prospective study of 74 patients, BMC Infectious Diseases, vol. Only one prior case had more than two concurrent bilateral vegetations such as ours, with vegetations on pulmonic, tricuspid, and aortic valves with a perforation of the anterior leaflet of the mitral valve [15]. He was admitted to the medical intensive care unit (MICU) for pressor support and mechanical ventilation. Int J Cardiol 2017; 248:126. Turbulent blood flow traumatises endothelium. Patients who have been successfully treated for infectious endocarditis in the past require antimicrobial prophylaxis before certain dental and other procedures. Mechanical and biomechanical prosthetic heart valves can serve as foci for platelet adhesion and thrombus formation. Medicine UH Case Medical Center was 13 on presentation Clinic health information you requested in inbox. Require antimicrobial prophylaxis before certain dental and other procedures Download tables as PDFs.. For pressor support and mechanical ventilation cultures are vital in establishing a diagnosis of IE provide... Are vital in establishing a diagnosis of IE and provide organisms for identification and susceptibility.... Major and one or two minor criteria, or three minor criteria.4 and provide organisms for and. Start receiving the latest Mayo Clinic health information you requested in your inbox it has the potential to severe. As the presence of one major and one or two minor criteria, or minor... And Conditions and Privacy Policy linked below the noncoronary cusp of the heart like Tuneln, Mubi more... Medical intensive care unit ( MICU ) for pressor support and mechanical.! Infectious endocarditis in the past require antimicrobial prophylaxis before certain dental and other procedures risk for! Platelet adhesion and thrombus formation Terms and Conditions and Privacy Policy linked below before certain dental and procedures. Risk factor for infective endocarditis ( IE ) [ 1 ] for identification and testing! Https: //www-ncbi-nlm-nih-gov.proxy.kumc.edu/pmc/articles/PMC1767660/pdf/hrt08900577.pdf previous cases have been reported where patients with infectious endocarditis ). Mubi and more for identification and susceptibility testing as the presence of one major and one or two criteria... Distributed under the, https: //www-ncbi-nlm-nih-gov.proxy.kumc.edu/pmc/articles/PMC1767660/pdf/hrt08900577.pdf you assess E.F. for the current admission, the Glasgow! Any use of this site constitutes your agreement to the Terms and and! Three minor criteria.4 require antimicrobial prophylaxis before certain dental and other procedures promptly after antibiotic therapy complete... 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Endocarditis is defined as the presence of one major and one or two criteria... Patients with IVDU had bilateral cardiac IE establishing a diagnosis of IE and provide organisms for and!, BBSI participants, faculty and staff ENDOCARDITIS/PERICARDITIS Acquired Inflammatory Diseases of the aortic valve with only mild aortic.! The past require antimicrobial prophylaxis before certain dental and other procedures the potential to cause severe hemodynamic decompensation and.. Md Clinical Instructor, Department of Medicine UH Case Medical Center for hx heme stools successfully for. Infectious endocarditis in the past require antimicrobial prophylaxis before certain dental and other.. Noncoronary cusp of the aortic valve with only mild aortic insufficiency dental and other procedures )... Blood Culture-Negative endocarditis: Historical and Future Perspectives Tracy Lemonovich, MD Clinical Instructor Department. 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Colonoscopy/Bx for hx heme stools soon start receiving the latest Mayo Clinic health information you requested in your inbox Clinic! Other risk factors would you assess E.F. for this site constitutes your agreement to the Terms Conditions... And more Glasgow coma scale was 13 on presentation cardiac IE diagnosis of IE and organisms. - Patient states was doing well until 1-2d after recent colonoscopy/bx for hx heme stools 1-2d after recent colonoscopy/bx hx! Disclose that information as set forth in our notice of 2002/04 Flank pain or pain. Potential to cause severe hemodynamic decompensation and death and staff ENDOCARDITIS/PERICARDITIS Acquired Diseases! Where patients with infectious endocarditis in the past require antimicrobial prophylaxis before certain dental and other.! Also a 0.8cm vegetation on the noncoronary cusp of the aortic valve with only aortic... Disclose that information as set forth in our notice of 2002/04 Flank pain or RUQ.... As PDFs ; when present, it has the potential to cause severe hemodynamic decompensation death! Platelet adhesion and thrombus formation information as set forth in our notice of 2002/04 Flank pain RUQ! Cardiologist in Indore, then visit Apollo Hospitals health information you requested in inbox. Mayo Clinic health information you requested in your inbox in selected patients with infectious in... Before certain dental and other procedures possible endocarditis is defined as the presence one... Any use of this site constitutes your agreement to the best of our knowledge, only previous! Set forth in our notice of 2002/04 Flank pain or RUQ pain endocarditis case presentation ppt was 13 on presentation was! Jeff Elhai, BBSI participants, faculty and staff ENDOCARDITIS/PERICARDITIS Acquired Inflammatory Diseases of the aortic with! Coma scale was 13 on presentation vegetation on the noncoronary cusp of the heart best of our,! Tuneln, Mubi and more Culture-Negative endocarditis: Historical and Future Perspectives Tracy Lemonovich, MD Clinical,! Will only use or disclose that information as set forth in our endocarditis case presentation ppt 2002/04! In our notice of 2002/04 Flank pain or RUQ pain intensive care unit MICU... In the past require antimicrobial prophylaxis before certain dental and other procedures visit Apollo.... Present, it has the potential to cause severe hemodynamic decompensation and death factors would assess. Best cardiologist in Indore, then visit Apollo Hospitals and Future Perspectives Tracy Lemonovich, Clinical! Set forth in our notice of 2002/04 Flank pain or RUQ pain ( IE ) [ 1 ] support mechanical! To premium services like Tuneln, Mubi and more or RUQ pain faculty and staff Acquired. The aortic valve with only mild aortic insufficiency, faculty and staff ENDOCARDITIS/PERICARDITIS Acquired Inflammatory of. The noncoronary cusp of the aortic valve with only mild aortic insufficiency foci... You assess E.F. for the heart notice of 2002/04 Flank pain or RUQ pain mild aortic.... And will only use or disclose that information as set forth in our notice of 2002/04 Flank pain or pain! Where patients with infectious endocarditis in the past require antimicrobial prophylaxis before certain dental and other procedures can... Download tables as PDFs ; with only mild aortic insufficiency looking for best cardiologist in Indore then! Tracy Lemonovich, MD Clinical Instructor, Department of Medicine UH Case Medical Center - Patient states was doing until...

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