Infective Endocarditis Flashcards
1
Q
ESSENCE
A
Infection involving endocardial surface of heart, including valvular structures and chordae tendineae
2
Q
CLINICAL FEATURES
Presentation
A
- Fever/chills
- Night sweats
- Malaise/fatigue
- Weakness
- Arthralgias
- Headache
- Shortness of breath
- Cardiac murmur
3
Q
AETIOLOGY
Risk factors
A
- Prior history enfective endocarditis
- Present of prosthetic heart valve
- Congenital heart disease
- Post-heart transplant
4
Q
INVESTIGATIONS
First to order
A
- Blood cultures
- 3 at 30 minute intervals from different venepuncture sites
- ECHO
- ECG
- FBC
5
Q
AETIOLOGY
Most common infective cause
A
- Usually gram-positive cocci
- Staphylococcus
- Streptococcus
- Enterococcus
6
Q
EPIDEMIOLOGY
% people get IE after valve replacement
A
2.5%
7
Q
MANAGEMENT
General
A
- Broad spectrum antibiotics at first, once organism confirmed specific antibiotics
- Surgery
8
Q
COMPLICATIONS
A
- Acute heart failure
- Systemic embolism
- Acute kidney injury
