Infective endocarditis

Question 1

Adherence of Staph aureus to intact endorhelium is mediated by

Answer 1

Fibronectin binding proteins

Question 2

Indications for Surgery in IE

Answer 2

NVE:

1. mod or severe CHF due to valve dysfunction
2. Perivalvulae extension of abscess, fistula or heart block
3. Persistent bacteremia >7-10 days
4. Lack of effectove antibiotic therapy (fungal, brucella, multi resistant gram neg)

PVE:
Dehisced proesthetic valve

Question 3

Pervivalvular infection such as abscess is more common in what valve

Answer 3

Aortic valve