Infective Endocarditis Flashcards

1
Q

ESSENCE

A

Infection involving endocardial surface of heart, including valvular structures and chordae tendineae

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2
Q

CLINICAL FEATURES

Presentation

A
  • Fever/chills
  • Night sweats
  • Malaise/fatigue
  • Weakness
  • Arthralgias
  • Headache
  • Shortness of breath
  • Cardiac murmur
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3
Q

AETIOLOGY

Risk factors

A
  • Prior history enfective endocarditis
  • Present of prosthetic heart valve
  • Congenital heart disease
  • Post-heart transplant
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4
Q

INVESTIGATIONS

First to order

A
  • Blood cultures
    • 3 at 30 minute intervals from different venepuncture sites
  • ECHO
  • ECG
  • FBC
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5
Q

AETIOLOGY

Most common infective cause

A
  • Usually gram-positive cocci
    • Staphylococcus
    • Streptococcus
    • Enterococcus
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6
Q

EPIDEMIOLOGY

% people get IE after valve replacement

A

2.5%

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7
Q

MANAGEMENT

General

A
  • Broad spectrum antibiotics at first, once organism confirmed specific antibiotics
  • Surgery
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8
Q

COMPLICATIONS

A
  • Acute heart failure
  • Systemic embolism
  • Acute kidney injury
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