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Doctor insights on: Enterococcus Endocarditis

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How is endocarditis diagnosed?

How is endocarditis diagnosed?

Fever, murmur: It is difficult to know for sure some times but if there is fever with elevated sedimentation rate with a positive blood clture in a patient with a murmur an abnormal heart valve which may or may not cause congestive heart failure. An echocardiogram. May show the vegetations in the valve. The history helps...Most common in HIV patients IV drug users, or elderly pts. ...Read more

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What are symptoms of endocarditis?

What are symptoms of endocarditis?

Multiple: Fever, skin hemorrhages especially under the nails, blood in urine, heart failure, weakness and pain in locations affected by thrombo-emboli from the cardiac vegetations. ...Read more

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What are the symptoms of endocarditis?

What are the symptoms of endocarditis?

Many: Fever, weakness, shortness of breath, loss of appetite, weight loss. Signs include anemia, new or changing heart murmur, peripheral emboli and hematuria. Diagnosis is made by blood culture and/or demonstration of valvular vegetations on echocardiography. ...Read more

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Would I know for sure if I had Endocarditis? How would I know?

Would I know for sure if I had Endocarditis? How would I know?

Echocardiogram: the ideal test to rule out endocarditis is transesophageal echocardiogram, along with blood cultures in appropriate settings. but you can start with a standard 2 dimensional echocardiogram ...Read more

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How bad is infective endocarditis?

How bad is infective endocarditis?

May be critical: IE - Infection of the inside lining of the heart and heart valves usually caused by bacteria can be life threatening. It can permanently damage heart valves . It requires immediate and aggressive medical attention usually in hospital as well as multiple IV antibiotics. It can also be caused by fungi and other agents. Serious! ...Read more

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Could endocarditis be asymptomatic?

Could endocarditis be asymptomatic?

For a time: The classic form of endocarditis is a bacterial infection of the lining of the heart. If the organism has low virulence, then the early stages of endocarditis can be entirely asymptomatic. Typically, over time, though, we believe that the infection worsens, eventually causing symptoms and signs. Fever, heart failure, new murmur, embolism are all potential signs and symptoms. ...Read more

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How harmful is infective endocarditis?

Potentially fatal: Infectious (bacterial) endocarditis is typically fatal without treatment, and occasionally fatal even with appropriate treatment. Typically, six weeks of IV antibiotics are required. Sometimes, the heart is damaged and requires surgical repair, and sometimes, the infection can not be cleared from the heart without surgery (abscess). ...Read more

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What is meant by infective endocarditis?

What is meant by  infective endocarditis?

Heart infection: Infective endocarditis (ie) is an infection of the endocardial surface (lining) of the heart, which may include one or more 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. ...Read more

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How long does subacute endocarditis last?

Subacute endocarditi: read this: http://en.wikipedia.org/wiki/Subacute_bacterial_endocarditis http://www.mayoclinic.org/diseases-conditions/endocarditis/basics/definition/con-20022403

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