Endocarditis history and symptoms: Difference between revisions
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==History and Symptoms== | ==History and Symptoms== | ||
===Subacute Bacterial Endocarditis (SBE)=== | ===Subacute Bacterial Endocarditis (SBE)=== | ||
* Insidious onset | *Insidious onset | ||
* [[Fever]] | *[[Fever]] | ||
* [[Sweat]]s | *[[Sweat]]s | ||
* [[Weakness]] | *[[Weakness]] | ||
* [[Myalgia]]s | *[[Myalgia]]s | ||
* [[Arthralgia]]s | *[[Arthralgia]]s | ||
* [[Malaise]] | *[[Malaise]] | ||
* [[Anorexia]] | *[[Anorexia]] | ||
* [[Fatigue]] | *[[Fatigue]] | ||
===Acute Bacterial Endocarditis=== | ===Acute Bacterial Endocarditis=== | ||
*Abrupt onset | *Abrupt onset | ||
* [[Rigors]] | *[[Rigors]] | ||
* [[Fever]]s as high as 102.9° to 105.1° F (39.4° to 40.6° C), often remittent | *[[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=== | ===Endocarditis Associated with Parenteral Drug Use=== | ||
* [[fever|High fever]]s, [[chills]], [[rigors]], [[malaise]], [[cough]], and [[chest pain|pleuritic chest pain]] | *[[fever|High fever]]s, [[chills]], [[rigors]], [[malaise]], [[cough]], and [[chest pain|pleuritic chest pain]] | ||
* [[pulmonary emboli|Septic pulmonary emboli]] causing [[sputum]] production, [[hemoptysis]], and signs suggesting [[pneumonia]] | *[[pulmonary emboli|Septic pulmonary emboli]] causing [[sputum]] production, [[hemoptysis]], and signs suggesting [[pneumonia]] | ||
* [[ | *[[Stroke]], [[TIA]], [[seizures]] | ||
===Prosthetic Valve Endocarditis=== | ===Prosthetic Valve Endocarditis=== | ||
* Occurs in 1%–2% of cases at 1 | * Occurs in 1%–2% of cases at 1 year and in 4%–5% of cases at 4 year after implantation | ||
* Infection of perivalvular tissues | * Infection of perivalvular tissues | ||
* New symptoms consistent with valvular regurgitation such as [[shortness of breath]] | * New symptoms consistent with valvular regurgitation such as [[shortness of breath]] | ||
* [[Fever]] | * [[Fever]] | ||
* [[Petechiae]], [[Roth's spot]]s, [[Osler's nodes]], [[Janeway lesion]]s | * [[Petechiae]], [[Roth's spot]]s, [[Osler's nodes]], [[Janeway lesion]]s | ||
==References== | ==References== | ||
Revision as of 19:12, 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
Common symptoms of endocarditis include:[1][2][3]
- 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 embolization 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)
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
- Stroke, TIA, seizures
Prosthetic Valve Endocarditis
- Occurs in 1%–2% of cases at 1 year and in 4%–5% of cases at 4 year after implantation
- Infection of perivalvular tissues
- New symptoms consistent with valvular regurgitation such as shortness of breath
- Fever
- Petechiae, Roth's spots, Osler's nodes, Janeway lesions
References
- ↑ Infective endocarditis. Wikipedia (2015). URL=https://en.wikipedia.org/wiki/Infective_endocarditis#Pathogenesis Accessed on September 21, 2015
- ↑ Endocarditis. Wikipedia (2015). URL= https://en.wikipedia.org/wiki/Endocarditis Accessed on September 21, 2015
- ↑ Dhawan VK (2002). "Infective endocarditis in elderly patients". Clin Infect Dis. 34 (6): 806–12. doi:10.1086/339045. PMID 11830803.