Endocarditis history and symptoms: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
 
(28 intermediate revisions by 6 users not shown)
Line 1: Line 1:
__NOTOC__
{{Endocarditis}}
{{Endocarditis}}


{{CMG}}; '''Associate Editors-in-Chief:''' {{CZ}}
{{CMG}}; {{AE}} {{Maliha}} {{CZ}}


==Overview==
==Overview==
Common symptoms of endocarditis include [[fever]], [[chills]], [[anorexia]], [[malaise]],[[weight loss]], and [[back pain]].
Common [[Symptom|symptoms]] of [[endocarditis]] include [[fever]], [[chills]], [[anorexia]], [[malaise]], [[weight loss]], and [[back pain]].


==Symptoms Frequency  Across All Subtypes of Endocarditis==
==History and Symptoms==


* [[Fever]] 80 - 85%, often spiking
=== History ===
* [[Chills]] 42 - 75%
Patients with [[endocarditis]] may have a positive history of:<ref name="pmid3272238">{{cite journal |vauthors=Arvay A, Lengyel M |title=Incidence and risk factors of prosthetic valve endocarditis |journal=Eur J Cardiothorac Surg |volume=2 |issue=5 |pages=340–6 |date=1988 |pmid=3272238 |doi= |url=}}</ref><ref name="pmid11794152">{{cite journal| author=Mylonakis E, Calderwood SB| title=Infective endocarditis in adults. | journal=N Engl J Med | year= 2001 | volume= 345 | issue= 18 | pages= 1318-30 | pmid=11794152 | doi=10.1056/NEJMra010082 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11794152  }}</ref><ref name="CorrigallBolen1977">{{cite journal|last1=Corrigall|first1=Denton|last2=Bolen|first2=James|last3=Hancock|first3=E.William|last4=Popp|first4=Richard L.|title=Mitral valve prolapse and infective endocarditis|journal=The American Journal of Medicine|volume=63|issue=2|year=1977|pages=215–222|issn=00029343|doi=10.1016/0002-9343(77)90235-2}}</ref><ref name="SousaBotelho2012">{{cite journal|last1=Sousa|first1=C.|last2=Botelho|first2=C.|last3=Rodrigues|first3=D.|last4=Azeredo|first4=J.|last5=Oliveira|first5=R.|title=Infective endocarditis in intravenous drug abusers: an update|journal=European Journal of Clinical Microbiology & Infectious Diseases|volume=31|issue=11|year=2012|pages=2905–2910|issn=0934-9723|doi=10.1007/s10096-012-1675-x}}</ref><ref name="SohailUslan2008">{{cite journal|last1=Sohail|first1=Muhammad R.|last2=Uslan|first2=Daniel Z.|last3=Khan|first3=Akbar H.|last4=Friedman|first4=Paul A.|last5=Hayes|first5=David L.|last6=Wilson|first6=Walter R.|last7=Steckelberg|first7=James M.|last8=Jenkins|first8=Sarah M.|last9=Baddour|first9=Larry M.|title=Infective Endocarditis Complicating Permanent Pacemaker and Implantable Cardioverter-Defibrillator Infection|journal=Mayo Clinic Proceedings|volume=83|issue=1|year=2008|pages=46–53|issn=00256196|doi=10.4065/83.1.46}}</ref><ref name="MoyssakisTektonidou2007">{{cite journal|last1=Moyssakis|first1=Ioannis|last2=Tektonidou|first2=Maria G.|last3=Vasilliou|first3=Vassilios A.|last4=Samarkos|first4=Michael|last5=Votteas|first5=Vassilios|last6=Moutsopoulos|first6=Haralampos M.|title=Libman-Sacks Endocarditis in Systemic Lupus Erythematosus: Prevalence, Associations, and Evolution|journal=The American Journal of Medicine|volume=120|issue=7|year=2007|pages=636–642|issn=00029343|doi=10.1016/j.amjmed.2007.01.024}}</ref><ref name="MinGyorkey1980">{{cite journal|last1=Min|first1=Kyung-Whan|last2=Gyorkey|first2=Ferene|last3=Sato|first3=Clifford|title=Mucin-producing adenocarcinomas and nonbacterial thrombotic endocarditis. Pathogenetic role of tumor mucin|journal=Cancer|volume=45|issue=9|year=1980|pages=2374–2382|issn=0008-543X|doi=10.1002/1097-0142(19800501)45:9<2374::AID-CNCR2820450923>3.0.CO;2-J}}</ref>
* [[Anorexia]] 25 - 55%
* [[Malaise]] 25 - 40%
* [[Weight loss]] 25 - 35%
* [[Back pain]]
* [[Flank pain]] due to renal embolization
* [[Stroke]] may be present in 10 - 15% of patients as a result of cerebral embolization
* [[Chest pain]] may be present as a result of embolzation in the coronary artery. The infarcts are usually not transmural. Pulmonary emboli, often septic, occur in 75% of patients with tricuspid endocarditis
* [[Abdominal pain]] may be present due to mesenteric embolization or [[ileus]]
* [[Blindness]] may be present due to retinal embolization in 3% of patients


==History and Symptoms in Subtypes of Endocarditis==
*Any [[congenital heart disease]]
===Subacute Bacterial Endocarditis (SBE)===
*[[Valvular heart diseases|Valvular heart disease]]
* Insidious onset
*[[Intravenous]] [[drug abuse]]
* [[Fever]]
*[[Prosthetic heart valves]]
* [[Sweat]]s
*[[Intracardiac]] devices
* [[Weakness]]
*[[Immunosuppression]]
* [[Myalgia]]s
*Poor [[dental]] health and history of recent [[dental]] procedures
* [[Arthralgia]]s
*[[Lupus]]
* [[Malaise]]
*[[Malignancy]]
* [[Anorexia]]
* [[Fatigue]]
* [[Splenomegaly]], [[clubbing]], and [[Osler’s nodes]] in long-standing SBE


===Acute Bacterial Endocarditis===
=== Common Symptoms ===
[[Subacute bacterial endocarditis]] has an insidious onset while [[acute bacterial endocarditis]] is abrupt in onset. 


*Abrupt onset
=====Bacterial Endocarditis=====
* [[Rigors]]
Common [[Symptom|symptoms]] of [[endocarditis]] include:<ref name="pmid11830803">{{cite journal| author=Dhawan VK| title=Infective endocarditis in elderly patients. | journal=Clin Infect Dis | year= 2002 | volume= 34 | issue= 6 | pages= 806-12 | pmid=11830803 | doi=10.1086/339045 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11830803  }} </ref><ref name="pmid12695478">{{cite journal| author=Moss R, Munt B| title=Injection drug use and right sided endocarditis. | journal=Heart | year= 2003 | volume= 89 | issue= 5 | pages= 577-81 | pmid=12695478 | doi= | pmc=PMC1767660 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12695478  }} </ref><ref name="pmid18082531">{{cite journal |vauthors=Silverman ME, Upshaw CB |title=Extracardiac manifestations of infective endocarditis and their historical descriptions |journal=Am. J. Cardiol. |volume=100 |issue=12 |pages=1802–7 |date=December 2007 |pmid=18082531 |doi=10.1016/j.amjcard.2007.07.034 |url=}}</ref><ref name="pmid24500311">{{cite journal |vauthors=Servy A, Valeyrie-Allanore L, Alla F, Lechiche C, Nazeyrollas P, Chidiac C, Hoen B, Chosidow O, Duval X |title=Prognostic value of skin manifestations of infective endocarditis |journal=JAMA Dermatol |volume=150 |issue=5 |pages=494–500 |date=May 2014 |pmid=24500311 |doi=10.1001/jamadermatol.2013.8727 |url=}}</ref>
* [[Fever]]s as high as 102.9° to 105.1° F (39.4° to 40.6° C), often remittent


===Endocarditis Associated with Parenteral Drug Use===
*[[Rigors]]
* [[fever|High fever]]s, [[chills]], [[rigors]], [[malaise]], [[cough]], and [[chest pain|pleuritic chest pain]]
*[[Fever]]s as high as 102.9° to 105.1° F (39.4° to 40.6° C), often remittent
* [[pulmonary emboli|Septic pulmonary emboli]] causing [[sputum]] production, [[hemoptysis]], and signs suggesting [[pneumonia]]
*[[Chills]]  
* [[murmur|Cardiac murmurs]]
*[[Anorexia]]
* [[Tricuspid insufficiency]]
*[[Malaise]]
* Metastatic infections such as renal or brain abscess
*[[Fatigue ]]
* Neurologic manifestations such as [[stroke]], [[TIA]], [[seizures]]
*[[Weight loss]]  
* Peripheral emboli
*[[Back pain]]
*[[Flank pain]] due to renal [[embolization]].
*[[Stroke]] may be present in 10 - 15% of patients as a result of [[cerebral]] [[embolization]]
*[[Chest pain]] may be present as a result of [[embolization]] in the [[coronary artery]]. The infarcts are usually not [[Transmural care|transmural]]. [[Pulmonary emboli]], often [[septic]], occur in 75% of patients with [[tricuspid]] [[endocarditis]]
*[[Abdominal pain]] may be present due to [[mesenteric]] [[embolization]] or [[ileus]]
*[[Blindness]] may be present due to [[retinal]] [[embolization]] in 3% of patients


===Prosthetic Valve Endocarditis===
=====Endocarditis Associated with Parenteral Drug Use=====
* Occurs in 1%–2% of cases at 1 yr and in 4%–5% of cases at 4 yr after implantation
Common symptoms of endocarditis in intravenous drug abusers are:
* Infection of perivalvular tissues
 
* New symptoms consistent with valvular regurgitation such as [[shortness of breath]]
*[[fever|High fever]]
* [[abscess|Myocardial abscesses]]
*[[Chills]]
* [[Fever]]
*[[Rigors]]
* [[Petechiae]], [[Roth's spot]]s, [[Osler's nodes]], [[Janeway lesion]]s
*[[Malaise]]
* [[Emboli]]
*[[Cough]]  
*[[chest pain|Pleuritic chest pain]]
*[[Sputum]] production, [[hemoptysis]]
*[[Stroke]], [[TIA]], [[seizures]]
 
=====Prosthetic Valve Endocarditis=====
 
*[[Shortness of breath]]
*[[Fever]]
*[[Petechiae]]


==References==
==References==
Line 62: Line 65:
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Infectious disease]]
 
[[Category:Intensive care medicine]]
[[Category:Intensive care medicine]]
[[Category:Up-To-Date]]
[[Category:Up-To-Date]]

Latest revision as of 21:51, 3 March 2020

Endocarditis Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Infective Endocarditis from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications & Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease

Diagnosis and Follow-up

Medical Therapy

Intervention

Case Studies

Case #1

Endocarditis history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Endocarditis history and symptoms

CDC onEndocarditis history and symptoms

Endocarditis history and symptoms in the news

Blogs on Endocarditis history and symptoms

to Hospitals Treating Endocarditis history and symptoms

Risk calculators and risk factors for Endocarditis history and symptoms

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maliha Shakil, M.D. [2] Cafer Zorkun, M.D., Ph.D. [3]

Overview

Common symptoms of endocarditis include fever, chills, anorexia, malaise, weight loss, and back pain.

History and Symptoms

History

Patients with endocarditis may have a positive history of:[1][2][3][4][5][6][7]

Common Symptoms

Subacute bacterial endocarditis has an insidious onset while acute bacterial endocarditis is abrupt in onset.

Bacterial Endocarditis

Common symptoms of endocarditis include:[8][9][10][11]

Endocarditis Associated with Parenteral Drug Use

Common symptoms of endocarditis in intravenous drug abusers are:

Prosthetic Valve Endocarditis

References

  1. ↑ Arvay A, Lengyel M (1988). "Incidence and risk factors of prosthetic valve endocarditis". Eur J Cardiothorac Surg. 2 (5): 340–6. PMID 3272238.
  2. ↑ Mylonakis E, Calderwood SB (2001). "Infective endocarditis in adults". N Engl J Med. 345 (18): 1318–30. doi:10.1056/NEJMra010082. PMID 11794152.
  3. ↑ Corrigall, Denton; Bolen, James; Hancock, E.William; Popp, Richard L. (1977). "Mitral valve prolapse and infective endocarditis". The American Journal of Medicine. 63 (2): 215–222. doi:10.1016/0002-9343(77)90235-2. ISSN 0002-9343.
  4. ↑ Sousa, C.; Botelho, C.; Rodrigues, D.; Azeredo, J.; Oliveira, R. (2012). "Infective endocarditis in intravenous drug abusers: an update". European Journal of Clinical Microbiology & Infectious Diseases. 31 (11): 2905–2910. doi:10.1007/s10096-012-1675-x. ISSN 0934-9723.
  5. ↑ Sohail, Muhammad R.; Uslan, Daniel Z.; Khan, Akbar H.; Friedman, Paul A.; Hayes, David L.; Wilson, Walter R.; Steckelberg, James M.; Jenkins, Sarah M.; Baddour, Larry M. (2008). "Infective Endocarditis Complicating Permanent Pacemaker and Implantable Cardioverter-Defibrillator Infection". Mayo Clinic Proceedings. 83 (1): 46–53. doi:10.4065/83.1.46. ISSN 0025-6196.
  6. ↑ Moyssakis, Ioannis; Tektonidou, Maria G.; Vasilliou, Vassilios A.; Samarkos, Michael; Votteas, Vassilios; Moutsopoulos, Haralampos M. (2007). "Libman-Sacks Endocarditis in Systemic Lupus Erythematosus: Prevalence, Associations, and Evolution". The American Journal of Medicine. 120 (7): 636–642. doi:10.1016/j.amjmed.2007.01.024. ISSN 0002-9343.
  7. ↑ Min, Kyung-Whan; Gyorkey, Ferene; Sato, Clifford (1980). "Mucin-producing adenocarcinomas and nonbacterial thrombotic endocarditis. Pathogenetic role of tumor mucin". Cancer. 45 (9): 2374–2382. doi:10.1002/1097-0142(19800501)45:9<2374::AID-CNCR2820450923>3.0.CO;2-J. ISSN 0008-543X.
  8. ↑ Dhawan VK (2002). "Infective endocarditis in elderly patients". Clin Infect Dis. 34 (6): 806–12. doi:10.1086/339045. PMID 11830803.
  9. ↑ Moss R, Munt B (2003). "Injection drug use and right sided endocarditis". Heart. 89 (5): 577–81. PMC 1767660. PMID 12695478.
  10. ↑ Silverman ME, Upshaw CB (December 2007). "Extracardiac manifestations of infective endocarditis and their historical descriptions". Am. J. Cardiol. 100 (12): 1802–7. doi:10.1016/j.amjcard.2007.07.034. PMID 18082531.
  11. ↑ Servy A, Valeyrie-Allanore L, Alla F, Lechiche C, Nazeyrollas P, Chidiac C, Hoen B, Chosidow O, Duval X (May 2014). "Prognostic value of skin manifestations of infective endocarditis". JAMA Dermatol. 150 (5): 494–500. doi:10.1001/jamadermatol.2013.8727. PMID 24500311.

Template:WH Template:WS

Retrieved from "https://www.wikidoc.org/index.php?title=Endocarditis_history_and_symptoms&oldid=1601177"