Endocarditis history and symptoms: Difference between revisions
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==Subacute Bacterial Endocarditis (SBE)== | Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 ==Symptoms Frequency Across All Subtypes of Endocarditis== | ||
*[[Fever]] 80 - 85%, often spiking | |||
*[[Chills]] 42 - 75% | |||
*[[Anorexia]] 25 - 55% | |||
*[[Malaise]] 25 - 40% | |||
*[[Weight loss]] 25 - 35% | |||
*[[Back pain]] | |||
*[[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== | |||
===Subacute Bacterial Endocarditis (SBE)=== | |||
* Insidious onset | * Insidious onset | ||
* [[Fever]] | * [[Fever]] | ||
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* [[Splenomegaly]], [[clubbing]], and [[Oslers nodes]] in long-standing SBE | * [[Splenomegaly]], [[clubbing]], and [[Oslers nodes]] in long-standing SBE | ||
==Acute Bacterial Endocarditis== | ===Acute Bacterial Endocarditis=== | ||
*Abrupt onset | *Abrupt onset | ||
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* [[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]] | ||
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* Peripheral emboli | * Peripheral emboli | ||
==Prosthetic Valve Endocarditis== | ===Prosthetic Valve Endocarditis=== | ||
* Occurs in 1%–2% of cases at 1 yr and in 4%–5% of cases at 4 yr after implantation | * Occurs in 1%–2% of cases at 1 yr and in 4%–5% of cases at 4 yr after implantation | ||
* Infection of perivalvular tissues | * Infection of perivalvular tissues | ||
Revision as of 19:16, 20 March 2011
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editors-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]
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Normal 0 false false false EN-US X-NONE X-NONE MicrosoftInternetExplorer4 ==Symptoms Frequency Across All Subtypes of Endocarditis==
- Fever 80 - 85%, often spiking
- Chills 42 - 75%
- Anorexia 25 - 55%
- Malaise 25 - 40%
- Weight loss 25 - 35%
- Back pain
- 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
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