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]]. | ||
==History== | ==History and Symptoms== | ||
=== History === | |||
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include: | A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include: | ||
*History of any [[congenital heart disease]] | *History of any [[congenital heart disease]] | ||
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*Poor dental health and history of recent dental procedures | *Poor dental health and history of recent dental procedures | ||
==Symptoms== | === Common Symptoms === | ||
Subacute bacterial endocarditis has an insidious onset while acute bacterial endocarditis is abrupt in onset. | Subacute bacterial endocarditis has an insidious onset while acute bacterial endocarditis is abrupt in onset. | ||
===Bacterial Endocarditis=== | =====Bacterial Endocarditis===== | ||
Common symptoms of endocarditis include:<ref name= | Common 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> | ||
*[[Rigors]] | *[[Rigors]] | ||
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*[[Blindness]] may be present due to retinal embolization in 3% of patients | *[[Blindness]] may be present due to retinal embolization in 3% of patients | ||
===Endocarditis Associated with Parenteral Drug Use=== | =====Endocarditis Associated with Parenteral Drug Use===== | ||
Common symptoms of endocarditis in intravenous drug abusers are: | Common symptoms of endocarditis in intravenous drug abusers are: | ||
*[[fever|High fever]] | *[[fever|High fever]] | ||
*[[Chills]] | *[[Chills]] | ||
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*[[Stroke]], [[TIA]], [[seizures]] | *[[Stroke]], [[TIA]], [[seizures]] | ||
===Prosthetic Valve Endocarditis=== | =====Prosthetic Valve Endocarditis===== | ||
*[[Shortness of breath]] | *[[Shortness of breath]] | ||
*[[Fever]] | *[[Fever]] | ||
Revision as of 16:10, 6 January 2020
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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: 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
A detailed and thorough history from the patient is necessary. Specific areas of focus when obtaining a history from the patient include:
- History of any congenital heart disease
- History of valvular heart disease
- Intravenous drug abuse
- Presence of prosthetic heart valves
- Presence of intracardiac devices
- Immunosuppression
- Poor dental health and history of recent dental procedures
Common Symptoms
Subacute bacterial endocarditis has an insidious onset while acute bacterial endocarditis is abrupt in onset.
Bacterial Endocarditis
Common symptoms of endocarditis include:[1][2]
- Rigors
- Fevers as high as 102.9° to 105.1° F (39.4° to 40.6° C), often remittent
- Chills
- Anorexia
- Malaise
- Fatigue
- 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
Common symptoms of endocarditis in intravenous drug abusers are:
- High fever
- Chills
- Rigors
- Malaise
- Cough
- Pleuritic chest pain
- Sputum production, hemoptysis
- Stroke, TIA, seizures
Prosthetic Valve Endocarditis
References
- ↑ Dhawan VK (2002). "Infective endocarditis in elderly patients". Clin Infect Dis. 34 (6): 806–12. doi:10.1086/339045. PMID 11830803.
- ↑ Moss R, Munt B (2003). "Injection drug use and right sided endocarditis". Heart. 89 (5): 577–81. PMC 1767660. PMID 12695478.