Challenges in Infective Endocarditis.
- MedicineJournal of the American College of Cardiology
- MedicineEmergency medicine clinics of North America
Blood cultures prior to antibiotics and obtaining prompt echocardiography are key diagnostic steps, followed by proper selection of empiric antibiotics and, in many cases, collaboration with infectious disease, cardiology, and cardiothoracic surgery specialists.
Surgical Aspects of Infective Endocarditis with Focus on the Aortic Root
- Medicinee-Journal of Cardiovascular Medicine
Prosthetic valve endocarditis has worst outcomes, particularly related to the higher mortality in reoperations, and a radical approach is preferred.
A Case Report of Successful Conservative Treatment for Infective Endocarditis Caused by Gemella sanguinis
- MedicineCase reports in infectious diseases
This case illustrates that valve surgery, in combination with the administration of antibiotics, is not the only therapeutic option for infective endocarditis and that a conservative management with prolonged administration of parenteral antibiotics under close supervision of the patient can be an option.
Infective endocarditis: we could (and should) do better
Infective endocarditis is a clinical chameleon whose epidemiology and natural history are in constant evolution, reflecting the complex interaction between an ageing population, elusive microorganisms, evolving patterns of healthcare, available therapies and the application of aggressive surgery.
Risk of infective endocarditis after left-sided surgical valve replacement
- MedicineEuropean heart journal
Patients with a prosthetic valve replacement are the largest high-risk group for infective endocarditis and, given the burden of valvular heart disease, this number is set to increase significantly in future years.
Advanced imaging improves the diagnosis of infective endocarditis
The modified Duke criteria lack sensitivity in patients with prosthetic valve and intra-cardiac device–related endocarditis and should be supplemented with newer imaging techniques, including 18F-fluorodeoxyglucose positron emission tomography and single-photon emission computed tomography (SPECT).
Oral Antibiotic Therapy for Infective Endocarditis Due to Enterococcus Spp. After Hemorrhagic Stroke and Heart Surgery
Introduction Infectious endocarditis (IE) is a severe infectious disease with an annual incidence of 3 – 7 cases per 100 000 people, and is considered the 3rd most life-threatening infection after…
Infective Endocarditis in the Elderly: Diagnostic and Treatment Options
- MedicineDrugs & Aging
A practical review covers all aspects of elderly IE, including clinical and microbiological diagnosis and appropriate diagnostic procedures, initial antibiotic selection, antibiotic prophylaxis, considerations about antibiotic therapy and surgery.
A case report of infective endocarditis in a 10-year-old girl
- MedicineClinics and practice
A "case of" 10 year-old girl with no known cardiac disease or any other risk factors who was diagnosed with infective endocarditis according to modified Duke criteria is presented and the importance of maintaining high index of suspicion forEndocarditis in febrile children, even those without cardiac anomalies or other apparent risk factors is emphasized.
SHOWING 1-10 OF 132 REFERENCES
The changing face of infective endocarditis
The current understanding of this difficult condition is reviewed and recent developments in medical and surgical management are updated.
Infective endocarditis: the European viewpoint.
- MedicineCurrent problems in cardiology
Only an early diagnosis followed by risk stratification and a prompt institution of the correct antibiotic treatment as well as an appropriate and timed surgical indication may improve mortality figures.
Infective Endocarditis: Therapeutic Options and Indications for Surgery
- MedicineCurrent Cardiology Reports
The management of infective endocarditis is discussed, considering both antimicrobial therapy and indications for surgery to treat this debilitating disease.
The infective endocarditis team: recommendations from an international working group
Staphylococci are now the most common causative organisms in international series and streptococci the second most common and resistance to antimicrobial agents, particularly vancomycin, is increasing.
Treatment of Infective Endocarditis: A 10-Year Comparative Analysis
Heart failure, annular and myocardial abscesses, heart block, and coronary embolism, seen most frequently with staphylococcal and fungal endocarditis, were the primary causes of death in both native valveendocarditis (NVE) and prosthetic valve end Carditis (PVE).
Surgery for Infective Endocarditis: Who and When?
The role of surgery in active IE has expanded progressively since early reports of successful outcome, and contemporary data in Europe indicate that surgery is now undertaken in approximately half of patients with IE; the most frequent indications are congestive heart failure, refractory sepsis, embolic complications, and vegetation size.
Diagnostic criteria and problems in infective endocarditis
The original von Reyn diagnostic criteria for infective endocarditis have now been surpassed by the Duke criteria which emphasise the role of echocardiography, the key imaging tool for both diagnosis and assessment of prognosis.
Global Trends in Infective Endocarditis Epidemiology
- MedicineCurrent Infectious Disease Reports
The global epidemiology of infective endocarditis is becoming better understood with the initiation of multi-center collaborative studies and with an increasing number of case series being reported…
Mechanisms of infective endocarditis: pathogen–host interaction and risk states
- MedicineNature Reviews Cardiology
Two mechanisms of IE should increasingly be the focus of future research: the role of immunosenescence in elderly patients with IE, particularly after transcatheter aortic valve implantation, and the mechanisms that trigger septic shock, a condition that leads to a substantial increase in the risk of death in patients withIE.
Infective endocarditis caused by HACEK microorganisms.
- MedicineAnnual review of medicine
The results confirm previous reports that HACEK endocarditis portends a favorable prognosis and were an insensitive predictor of subsequent major arterial embolization.