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Doctor insights on: Bacterial Endocarditis

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Dr. Martin Raff
96 Doctors shared insights

Bacterial Endocarditis (Overview)

...Usually involving a bacteria (or sometimes a fungus) which attach to diseased or artificial heart valves. The bacteria usually get into the bloodstream from dental or other surgical procedures, but may enter through an inadvertent event. This is a very serious infection, requiring hospitalization, and often weeks of intravenous antibiotics.


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How is bacterial endocarditis diagnosed? Have splinter hemorrhages but I can rule out renal failure, trichinosis, psoriasis, and pityriasis pilaris.

How is bacterial endocarditis diagnosed? Have splinter hemorrhages but I can rule out renal failure, trichinosis, psoriasis, and pityriasis pilaris.

ABE / SBE: Suspected by clinical history / exam. Diagnosed by transesophageal echocardiogram and blood cultures. Splinter hemorrhages are common and much much more likely related to trauma than to SBE or ABE. ...Read more

Dr. Martin Raff
96 Doctors shared insights

Bacterial Endocarditis (Overview)

...Usually involving a bacteria (or sometimes a fungus) which attach to diseased or artificial heart valves. The bacteria usually get into the bloodstream from dental or other surgical procedures, but may enter through an inadvertent event. This is a very serious infection, requiring hospitalization, and often weeks of intravenous antibiotics.


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What are the tests for bacterial endocarditis?

What are the tests for bacterial endocarditis?

Several: They include blood cultures, complete blood count, chemistry profile, and most importantly, an echocardiogram or cardiac ultrasound. A echocardiogram, particularly a transesophageal echocardiogram can detect with a high degree of certainty, infection of the heart valve, known as valvuvlar vegetations, and can also assess the heart for valve leakage and heart failure. ...Read more

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Virus like influenza can cause endocarditis, is the risk for serious complications as bad as bacterial endocarditis when the virus lifespan is shorter?

Virus like influenza can cause endocarditis, is the risk for serious complications as bad as bacterial endocarditis when the virus lifespan is shorter?

Bacterial vs viral: Most endocarditis can be dangerous regardless of the etiology, but viral is usually less severe. However, bacterial endocarditis can be treated with antibiotics while viral is more 'supportive care' until you just get better. ...Read more

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If your troponin level is normal, does it mean that your heart valve is allright & not infected by bacterial endocarditis? Ty

If your troponin level is normal, does it mean that your heart valve is allright & not infected by bacterial endocarditis? Ty

Not necessarily: Elevated troponin is most often associated with heart muscle damage, as in a heart attack. Heart valves may be damaged (by infection or other processes) that may not lead to an elevated troponin. An ultrasound of the heart should help detect important damage to any involved valves. ...Read more

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How is bacterial endocarditis treated?

How is bacterial endocarditis treated?

Antibiotics: If antibiotics are unsuccessful or if there is severe valve damage or other comlications like stroke, renal failure or heart block, or persistent infection then surgery is usually indicated. ...Read more

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What is the treatment for bacterial endocarditis?

What is the treatment for bacterial endocarditis?

Antibiotics: Broad spectrum antibiotics to start. In severe cases of endocarditis, open heart surgery to replace the infected valve is a life saving necessity, provided that the damage to both the valve and the heart is not beyond repair. ...Read more

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How serious is a bacterial endocarditis after dental work?

How serious is a bacterial endocarditis after dental work?

Very: Infective endocarditis is always a very serious illness. It requires lengthy treatment with one or more antibiotics, may require surgery, and complications are numerous. A good infectious diseases expert can manage these, minimizing morbidity and mortality. ...Read more

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How is bacterial endocarditis treated?

Antibiotics: If antibiotics are unsuccessful or if there is severe valve damage or other comlications like stroke, renal failure or heart block, or persistent infection then surgery is usually indicated. ...Read more

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What are the tests for bacterial endocarditis?

Several: They include blood cultures, complete blood count, chemistry profile, and most importantly, an echocardiogram or cardiac ultrasound. A echocardiogram, particularly a transesophageal echocardiogram can detect with a high degree of certainty, infection of the heart valve, known as valvuvlar vegetations, and can also assess the heart for valve leakage and heart failure. ...Read more

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What is the definition or description of: bacterial endocarditis?

What is the definition or description of: bacterial endocarditis?

A heart infection...: ...Usually involving a bacteria (or sometimes a fungus) which attach to diseased or artificial heart valves. The bacteria usually get into the bloodstream from dental or other surgical procedures, but may enter through an inadvertent event. This is a very serious infection, requiring hospitalization, and often weeks of intravenous antibiotics. ...Read more

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What is subacute bacterial endocarditis?

What is subacute bacterial endocarditis?

Heart infection: Subacute infective endocarditis is an infection of the endocardial surface (lining) of the heart, which may include heart valves, the walls, or a septal defect. People at greatest risk of endocarditis have a damaged heart valve, an artificial heart valve or other heart defects. Iv drug abusers are at great risk. Symptoms may be vague and diagnosis is often delayed. Treatment is essential. ...Read more

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How serious is bacterial endocarditis after delivery?

Very: Infective endocarditis is always a very serious illness. It requires lengthy treatment with one or more antibiotics, may require surgery, and complications are numerous. A good infectious diseases expert can manage these, minimizing morbidity and mortality. ...Read more

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Why heparin is contraindicated in bacterial endocarditis?

Mycotic aneurysm: Use of blood thinners in bacterial endocarditis is associated with increased chance of mycotic aneurysms of the brain which can ultimately result in bleeding of the brain. ...Read more

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Hi doctors, was just wondering what is bacterial endocarditis?

Hi doctors, was just wondering what is bacterial endocarditis?

Heart infection: Subacute infective endocarditis is an infection of the endocardial surface (lining) of the heart, which may include heart valves, the walls, or a septal defect. People at greatest risk of endocarditis have a damaged heart valve, an artificial heart valve or other heart defects. Iv drug abusers are at great risk. Symptoms may be vague and diagnosis is often delayed. Treatment is essential. ...Read more

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Can you tell me of or have subacute bacterial endocarditis or sbe?

Can you tell me of or have subacute bacterial endocarditis or sbe?

Not sure of question: Symptoms in SBE can be quite variable, but typically reflect a slow or indolent course, as opposed to acute endocarditis, with symptoms evolving over weeks. Systemic complaints are common, like fever, chills, poor appetite, weight loss, malaise, headache, muscle aches, night sweats, cough, or joint pains. Cardiac sxs may include dizziness, shortness of breath, swelling or edema. ...Read more

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What is the treatment for bacterial endocarditis?

Antibiotics: Broad spectrum antibiotics to start. In severe cases of endocarditis, open heart surgery to replace the infected valve is a life saving necessity, provided that the damage to both the valve and the heart is not beyond repair. ...Read more

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What's the chance of having bacterial endocarditis if I have fever?

What's the chance of having bacterial endocarditis if I have fever?

Pretty low: Less than 1% of people with fever have endocarditis. Do you have valvular heart disease or an artificial heart valve or a pacemaker? If not your risk is low. If your fever does not resolve or if it is associated with chills, lethargy or weakness see your doc. ...Read more

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Please tell me the difference between pericarditis and bacterial endocarditis?

Please tell me the difference between pericarditis and bacterial endocarditis?

Difference: Pericarditis is inflammation of the lining around the heart - the pericardium, generally with a fluid collection between the pericardium and the heart. Endocarditis is an infection of the inner lining of the heart, generally on a valve surface, either natural or artificial. ...Read more

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What is subacute bacterial endocarditis prophylaxis?

Prophylaxis: This is antibiotic therapy given before a procedure which may induce bacteria into the blood stream in a patient with pre-existing heart valve abnormalities. There is very little evidence outside of some animal studies to suggest the efficacy of this, but it is often used because the doctor believes it is effective, or in fear of subsequent litigation if they fail to do so. ...Read more

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How serious is a bacterial endocarditis after dental work?

Very: Infective endocarditis is always a very serious illness. It requires lengthy treatment with one or more antibiotics, may require surgery, and complications are numerous. A good infectious diseases expert can manage these, minimizing morbidity and mortality. ...Read more

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Dr. Martin Raff
240 Doctors shared insights

Endocarditis (Definition)

An infection of the inner lining of your heart. It generally occurs when bacteria or other germs from another part of your body, such as your mouth, spread through your bloodstream and attach to damaged areas in your heart. Left untreated, endocarditis can damage or destroy your heart valves and can ...Read more


Bacteria (Definition)

Are omnipresent single celled organisms which are the both the simplest form of life and the original form of life on earth. The are ...Read more