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Infectologia > Endocarditis > Flashcards

Endocarditis Flashcards

1
Q

Tipo de bacterias que conforman la etiologia tipica

A

cocos Gram (+)

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2
Q

bacteria que causa la mayoria de los casos

A

S. aureus

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3
Q

Endocarditis protesica precoz

A

S. epidermidis

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4
Q

Endocarditis subaguda

A

grupo viridans

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5
Q

Endocarditis, asociada a Ca de Colon

A

S. gallolyticus (bovis)

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6
Q

Endocarditis con hemocultivo (-)

A

HACEK/ Coxiella/ Brucella/Bartonella/ Tropheryma/Enterococos/ candida/Trombotica no bacteriana

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7
Q

Afectan a la valvula aortica

A

Coxiella/Brucella

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8
Q

provocan grandes vegetaciones

A

grupo HACEK

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9
Q

Endocarditis tras manipulaciones gastrointestinales y genitourinarias

A

Enterococos

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10
Q

UDVP

A

S. aureus

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11
Q

alcoholicos indigentes

A

Bartonella quintana

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12
Q

endocarditis afebril

A

Tropheryma W.

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13
Q

endocarditis subaguda con grandes vegetaciones

A

candida

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14
Q

Patogenia de la endocarditis

A

daño endocardico –> agregado fibrinoplaquetario –> invasion bacteriana

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15
Q

Caracteristicas de la endocarditis aguda

A

germenes agresivos/ no necesariamente cardiopatia previa/ mortal < 6 semanas/ embolias septicas

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16
Q

Caracteristicas de la endocarditis subaguda

A

germenes menos destructivos/ patologia previa/ > 6 semanas/ no suelen embolizar/ manipulacion dentaria previa

17
Q

Localizaciones + habituales

A

Mitral–> aortica –> ambas

UDVP: tricuspide

18
Q

eventos sopsechosos de endocarditis

A
  • Fiebre sin focalidad aparente
  • Fiebre + soplo
  • Fiebre + fenomenos embolicos o lesiones cutaneas (Nodulos de Osler/ manchas de Janeway)
19
Q

otras manifestaciones de la endocarditis

A

bloqueos/ arritmias/pericarditis/ICCaguda

Fenomenos embolicos e inmunologicos

20
Q

localizaciones + frecuentes de las embolias

A

SNC (60 %); Pulmon (UDVP)

21
Q

Diagnostico de endocarditis

A

sospecha clinica/ hemocultivo/ serologia/ Eco transT y TransE

22
Q

Criterios mayores de Duke

A

1) Hemocultivo +
2) Hallazgos en ECO
3) Serologia + para C. burnetii

23
Q

Criterios menores de Duke

A

1) UDVP o Cardiopatia predisponente
2) Fiebre >38 grados
3) Fenomenos vasculares
4) Fenomenos inmunologicos
5) ECO sugestivo sin criterio mayor
6) Hallazgos microbiologicos sin criterios mayores

24
Q

Endocarditis definitiva

A
  • Cultivo + en vegetacion, absceso o embolo
  • 2 criterios mayores
  • 1 criterio mayor + 3 menores
  • 5 criterios menores
25
Q

causas de muerte + frecuentes

A

complicaciones neurologicas/ septicas

Insuficiencia cardiaca

26
Q

Tratamiento

A

penicilina + gentamicina (2 semanas)

Infectologia (2 decks)

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