Endocarditis history and symptoms: Difference between revisions
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Common symptoms of endocarditis include [[fever]], [[chills]], [[anorexia]], [[malaise]], [[weight loss]], and [[back pain]]. | Common symptoms of endocarditis include [[fever]], [[chills]], [[anorexia]], [[malaise]], [[weight loss]], and [[back pain]]. | ||
==Symptoms== | ==History and Symptoms== | ||
== | Subacute bacterial endocarditis has an insidious onset while acute bacterial endocarditis is abrupt in onset. Common symptoms of endocarditis include:<ref name=abc> Infective endocarditis. Wikipedia (2015). URL=https://en.wikipedia.org/wiki/Infective_endocarditis#Pathogenesis Accessed on September 24, 2015</ref><ref name=endo> Endocarditis. Wikipedia (2015). URL= https://en.wikipedia.org/wiki/Endocarditis Accessed on September 24, 2015</ref><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> | ||
===Subacute Bacterial Endocarditis (SBE)=== | ===Subacute Bacterial Endocarditis (SBE)=== | ||
*[[Fever]] | *[[Fever]] | ||
*[[Sweat]]s | *[[Sweat]]s | ||
Line 34: | Line 21: | ||
===Acute Bacterial Endocarditis=== | ===Acute Bacterial Endocarditis=== | ||
*[[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 | ||
* [[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 | |||
===Endocarditis Associated with Parenteral Drug Use=== | ===Endocarditis Associated with Parenteral Drug Use=== |
Revision as of 12:58, 24 September 2015
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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.
History and Symptoms
Subacute bacterial endocarditis has an insidious onset while acute bacterial endocarditis is abrupt in onset. Common symptoms of endocarditis include:[1][2][3]
Subacute Bacterial Endocarditis (SBE)
Acute Bacterial Endocarditis
- Rigors
- Fevers as high as 102.9° to 105.1° F (39.4° to 40.6° C), often remittent
- 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
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 24, 2015
- ↑ Endocarditis. Wikipedia (2015). URL= https://en.wikipedia.org/wiki/Endocarditis Accessed on September 24, 2015
- ↑ Dhawan VK (2002). "Infective endocarditis in elderly patients". Clin Infect Dis. 34 (6): 806–12. doi:10.1086/339045. PMID 11830803.