Life-Threatening Complications of Infective Endocarditis and Their Management

Weinstein, Louis

doi:10.1001/archinte.1986.00360170183025

Cited by 80 publications

(35 citation statements)

References 36 publications

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“…Embolik olaylar infektif endokarditli olgularda en sık görülen ekstrakardiyak komplikasyondur (9,10) . Endokarditli olgularda emboliler sıklıkla böb-rekler (%60), dalak (%44), beyin (%40), koroner arterler (%30) ve periferik arterleri etkiler (8,9) . Bazı hasta gruplarının embolik olaylar için yüksek risk taşıdığı bildirilmiştir (10) .…”

Section: Discussionunclassified

A Rare Cause Of Native Valve İnfective Endocarditis: Clostridium Histolyticum

Gülle¹,

Özel²,

Taşkıran³

et al. 2016

Terh

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ÖZİnfektif endokardit kalp kalp iç yüzey endotelini ve kalp kapaklaının enfeksiyöz nedenli tutulumudur. Etkenler sıklıkla streptokoklardan antibiyotik dirençli bakterilerden oluşmakla birlikte ender olarak mantar ve parazitlere bağlı da gelişebilmekte-dir. Anaerobik bakteriler infektif endokardit etkeni olarak düşük oranda görülmesi-ne (%2-16) karşın, önemli bir klinik yere sahiptir. En sık görülen anaerobik ve mikroaerofilik İE etkenleri Propionibacterium acnes ve B. fragilis olarak tanımlanmıştır. Anaerobik doğal kapak endokarditleri ender görülen fakat özellikle ileri yaştaki hastaları etkileyen bir hastalıktır. Bu olgu sunumunda 67 yaşında kadın hastada saptanan Clostiridium histolyticum bakterisine bağlı gelişen doğal mitral kapak endokarditi ve buna sekonder posteromedial papiller kas rüptürü ve mitral yetmezlik tablosunu sunmak istedik. Anahtar kelimeler: İnfektif endokardit, Clostridium histolyticum, papiller kas rüptürü ABSTRACTInfective endocarditis is a disease of the inner lining of the heart and cardiac valves, the endocardium, caused by a variety of infectious agents, ranging from streptococci to antibiotic-resistant bacteria, including fungi and parasites. Although anaerobic bacteria are less frequently seen cause of infective endocarditis, they have significant clinical place accounting for 2-16% of all cases. Most cases of anaerobic IE are caused by the anaerobic and microaerophilic streptococci Propionibacterium acnes and B. fragilis. Anaerobic IE is rare cause of naive valve endocarditis which is especially seen in elderly patients. We decided to report 67-year-old woman with native mitral valve endocarditis, posteromedial papillary muscle rupture and severe mitral regurgitation due to Clostiridium histolyticum bacteria.

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Section: Discussionunclassified

A Rare Cause Of Native Valve İnfective Endocarditis: Clostridium Histolyticum

Gülle¹,

Özel²,

Taşkıran³

et al. 2016

Terh

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“…Nevertheless, the likelihood of splenic abscess formation is very low, even in IE cases [1][2][3][4]11]. In one study, splenic abscesses occurred in only 27 (4.8%) of 564 documented cases of IE [2].…”

Section: Discussionmentioning

confidence: 99%

Splenic abscess caused by MRSA developing in an infarcted area: case report and literature review

Arslan

Batırel

Tabak

et al. 2011

Journal of Infection and Chemotherapy

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“…It may also be due to arteriovenous fistula formation or a myocardial abscess with intracardiac fistula formation [2,5,9]. An electrocardiogram should be monitored regularly because Table 2) Two major criteria, or One major criterion and three minor criteria, or Five minor criteria Possible infective endocarditis Findings consistent with infective endocarditis that fall short of "definite" but are not "rejected" Rejected…”

Section: Monitoring During Treatmentmentioning

confidence: 99%

“…ST segment elevation may indicate myocarditis, pericarditis, or myocardial infarction complicating endocarditis [5,9]. Daily physical examination to assess for heart failure and peripheral embolization (stroke, splenic infarct) should be done.…”

Section: Monitoring During Treatmentmentioning

confidence: 99%

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Infective endocarditis

Segreti

Trenholme

1999

Curr Treat Options Cardio Med

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Infective endocarditis remains a serious and potentially fatal disease. Even with appropriate therapy, mortality rates remain at about 10% to 20%. Common errors in treatment include starting antibiotics before obtaining at least three blood cultures, failing to use bactericidal drugs, stopping therapy too early, and delaying heart surgery when it is indicated. The epidemiology of endocarditis will continue to evolve, and we will see more cases that are hospital acquired, more cases associated with the presence of cardiac support devices, and cases associated with line-related bacteremia. Therefore, organisms associated with endocarditis will also likely evolve. We will see more cases due to multiresistant organisms (eg, vancomycin-resistant enterococci, glycopeptide-resistant staphylococci, and multidrug-resistant gram-negative rods) as well as yeast and fungi.

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Life-Threatening Complications of Infective Endocarditis and Their Management

Cited by 80 publications

References 36 publications

A Rare Cause Of Native Valve İnfective Endocarditis: Clostridium Histolyticum

A Rare Cause Of Native Valve İnfective Endocarditis: Clostridium Histolyticum

Splenic abscess caused by MRSA developing in an infarcted area: case report and literature review

Infective endocarditis

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