Endocarditis history and symptoms: Difference between revisions
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==Symptoms== | ==Symptoms== | ||
Symptoms of endocarditis include: | |||
* [[Fever]] | |||
* [[Fever]] | * [[Chills]] | ||
* [[Chills]] | * [[Anorexia]] | ||
* [[Anorexia]] | * [[Malaise]] | ||
* [[Malaise]] | * [[Weight loss]] | ||
* [[Weight loss]] | |||
* [[Back pain]] | * [[Back pain]] | ||
* [[Flank pain]] due to renal embolization | * [[Flank pain]] due to renal embolization | ||
Revision as of 18:54, 23 September 2015
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Endocarditis Microchapters |
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Diagnosis |
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Treatment |
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2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease |
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Case Studies |
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Endocarditis history and symptoms On the Web |
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Risk calculators and risk factors for Endocarditis history and symptoms |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Common symptoms of endocarditis include fever, chills, anorexia, malaise, weight loss, and back pain.
Symptoms
Symptoms of endocarditis include:
- Fever
- Chills
- Anorexia
- Malaise
- Weight loss
- 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
Subacute Bacterial Endocarditis (SBE)
- Insidious onset
- Fever
- Sweats
- Weakness
- Myalgias
- Arthralgias
- Malaise
- Anorexia
- Fatigue
- Splenomegaly, clubbing, and Oslers nodes in long-standing SBE
Acute Bacterial Endocarditis
Endocarditis Associated with Parenteral Drug Use
- High fevers, chills, rigors, malaise, cough, and pleuritic chest pain
- Septic pulmonary emboli causing sputum production, hemoptysis, and signs suggesting pneumonia
- Cardiac murmurs
- Tricuspid insufficiency
- Metastatic infections such as renal or brain abscess
- Neurologic manifestations such as stroke, TIA, seizures
- Peripheral emboli
Prosthetic Valve Endocarditis
- Occurs in 1%–2% of cases at 1 yr and in 4%–5% of cases at 4 yr after implantation
- Infection of perivalvular tissues
- New symptoms consistent with valvular regurgitation such as shortness of breath
- Myocardial abscesses
- Fever
- Petechiae, Roth's spots, Osler's nodes, Janeway lesions
- Emboli