12. Endocarditis

Escherichia coli, Pseudomonas aerigunosa, Citrobacter spp.

Bartonella, Brucella, Coxiella

staphylococci, Candida albicans, Aspergillus fumigatus

Group A streptococci, Staphylococci aureus - MRSA, Escherichia coli

Viridans streptococci, staphylococci, enterococci, bacteria group Haček

vegetation often occurs at the point where the pressure is higher (at the chamber side of the mitral valve, the aortic side of the aortic valve)

mature vegetation consisting of cardiomyocytes, fibroblasts, and inflammatory cells of the bacterium

cerebral embolism may occur in more than 2/3 of patients

the native Valve is a frequent obstruction due to vegetation

Endocarditis is reflected by vegetation on the valves, abscesses in the field of valves and valve perforation

Ultrasound evidence of endocardial involvement (vegetation, abscess)

Oslerjevi nodules

positive blood culture

major arterial embolism

artificial cardiac valve

Leukocytopenia

microscopic hematuria

erythrocyte sedimentation rate slowed

elevated CRP

Janeway lesions

penicillin G intravenously for 4 weeks; the first 14 days an additional aminoglycoside

with azithromycin, 5 days orally

with a combination of ampksicilin / clavulanic acid, for 14 days orally

with a combination of ampksicilin / clavulanic acid, for 14 days intravenously

penicillin G intravenously in combination with an aminoglycoside, for 14 days

dental surgery on gums

liver biopsy

coronary angiography

drainage of abscess

tonsillectomy

amoxicillin 2 g orally 1 hour prior to surgery

amoxicillin 1 g intravenously 3g before and 3 hours after the procedure

amoxicillin + clavulanate 1g 1g before and 12 hours after surgery

azithromycin 500 mg 1 day before and 2 days after surgery

imipenem 500 mg intravenously during surgery

is the result of direct damage to the heart due to the toxin secreted by betahemolitični group A streptococci

rheumatoid arthritis treated with high-dose acetylsalicylic acid

rheumatoid carditis treated with steroids

the acute phase is characterized by a migratory polyarthritis

only affects endocardial

Gram-positive cocci

intracellular bacteria

kardiotropni viruses

fungi

gram-negative bacilli

by transthoracic ultrasound of the heart may be with full confidence exclude infective endocarditis

where in the context of infectious endocarditis affected aorta valve is needed as soon as possible surgical valve replacement

the treatment with antibiotics is required at least 4 weeks

endocarditis can not cause valve regurgitation

streptococcal endocarditis treated with monotherapy with aminoglycosides

cleaning of tartar

the insertion of a central venous catheter

tonsillectomy

tooth extraction

abscess incision

For healthy and more frequently, the modified native Valve

The valve prosthesis

Only the previously modified Valve

On the atrial side of the mitral valve and aortic valve chamber side

At the site of the defect in the heart, where the pressure is lower

Prior rheumatic valvular defects

The emergence of new valvular regurgitation in native or prosthetic valves

Oscillating weight in subvalvular appliance valve

Oscillating weight at shutter

Prior infectious endocarditis

In all patients who have ever had an operation on the heart

In all patients with prosthetic valves

In all patients with aortic and / or mitral heart defect

In patients after surgical revascularization of the heart

Only patients who have a history of endocarditis