Endocarditis history and symptoms

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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]

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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
  • 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 in Subtypes of Endocarditis

Subacute Bacterial Endocarditis (SBE)

Acute Bacterial Endocarditis

  • Abrupt onset
  • Rigors
  • Fevers as high as 102.9° to 105.1° F (39.4° to 40.6° C), often remittent

Endocarditis Associated with Parenteral Drug Use

Prosthetic Valve Endocarditis

References

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