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Doctor insights on: Main Risk Factor For Developing Infective Endocarditis

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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

Dr. Martin Raff
242 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


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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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What is the difference between infective and non-infective endocarditis?

See below: Infective endocarditis is infection of one or more heart valves by a microorganism. Non-infective endocarditis is inflammation of a heart valve not caused by an infection. Nonbacterial thrombotic endocarditis is found in patients with malignancy, chronic wasting diseases, rheumatic and congenetal heart diseases and autoimmune diseases such as sle. ...Read more

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How does infective endocarditis differ from other infective conditions?

Valve/heart: Infective endocarditis specifically means there is an infection if a heart valve or heart structure, much like pneumonia means there is an infection of the lungs. It is a more descriptive term. ...Read more

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Hi doctors, can you tell me what is infective endocarditis?

Hi doctors, can you tell me what is 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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Is there a link between flossing and infective endocarditis?

Is there a link between flossing and infective endocarditis?

Yes, per current inf: Current info does substantiate such a periodontal cardiac relationship. Flossing is important in maintaining proper periodontal health. ...Read more

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What is infective endocarditis? Does infective mean it's contagious?

Bacteria: Infective endocarditis is a bacterial blood infection that has infected the heart as well. It is not contagious. ...Read more

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How deadly is infective endocarditis?

How deadly is infective endocarditis?

Endocarditis: Infective Endocarditis (IE) is a serious disease cause by both bacteria/fungi infecting the inner lining of the heart (endocardium). It requires aggressive antibiotic/fungal treatment-but can also include surgery to repair/replace heart valves effected. The usual cause of death is congestive heart failure - neurologic complication are also often seen. Mortality can be 20-25% even with treatment. ...Read more

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What streptococcus causes infective endocarditis?

What streptococcus causes infective endocarditis?

Endocarditis: It is estimated that about 2/3 of the cases of endocarditis are caused by streptococcal bacteria. Streptococcal bacteria causing endocarditis include streptococcus viridans as well as groups a, c, and g streptococcal bacteria. ...Read more

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What causes cardiomyopathy to lead to infective endocarditis?

What causes cardiomyopathy to lead to infective endocarditis?

Doesn't: Cardiomyopathy, by itself, does not 'lead' to endocarditis. Endocarditis is an infection of the lining of the heart and usually heart valves. However, if you have cardiomyopathy, there may be abnormalities of the heart valves too, particularly leaking valves. This may slightly raise the risk of getting endocarditis in certain circumstances. ...Read more

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What is the most common bacterium causing acute infective endocarditis?

Stypyococcus: Staph endocarditis is most common pathogen. Ithere are strep and other bacteria but clinical settings may va ...Read more

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Should I pre-medicate to prevent infective endocarditis?

Should I pre-medicate to prevent infective endocarditis?

Depends: In 2007 the american heart association, american college of cardiology, and american dental association downgraded its recommendations based on new research which showed that endocarditis is, in most instances, rarer than then the rare serious side effects of antibiotics. People with artificial valves or certain uncorrected forms of congenital heart disease do need prophylaxis. Others don't. ...Read more

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Why does digit clubbing and pethicheae arise as complications of infective endocarditis?

Why does digit clubbing and pethicheae arise as complications of infective endocarditis?

Many of the: Peripheral manifestations of endocarditis are do to antigen-antibody complex deposition including these, . They develop in so-called subacute bacterial endocarditis that has gone on for weeks prior to being treated. ...Read more

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Why infective endocarditis mostly affect valves of the heart?

Why infective endocarditis mostly affect valves of the heart?

They have poor: Blood flow and thus immune protection. Also they are exposed to turbulent intracardiac flow. ...Read more

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What kind of infection is infective endocarditis?

What kind of infection is infective endocarditis?

Usually bacterial: Infective endocarditis is usually bacterial infection of the heart valves, but fungi can also cause endocarditis. ...Read more

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Can any one please explain what are the differences between adult infective endocarditis and pediatric infective endocarditis?

Can any one please explain what are the differences between adult infective endocarditis and pediatric infective endocarditis?

They are similar: Both are life-threatening conditions that involve bacteria growing on the valves of the heart. Bacteria from the body or from tics can cause overwhelming illness, or destroy the electrical system of the heart.
Because adults tend to have stiffer hearts with more calcium deposits, surgery is more often needed to cure the illness.
Either way, long courses of intravenous antibiotics are needed. ...Read more

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Is infective endocarditis caused if endocardium is ok? I got cut yesterday by dirt blade, no local signs of inflamation. Blade was put in KMnO4 before

Is infective endocarditis caused if endocardium is ok? I got cut yesterday by dirt blade, no local signs of inflamation. Blade was put in KMnO4 before

Unlikely a problem: Endocarditis is more often an infection of those with a debilitating illness or involved with the intravenous drug use. There is potential for showering the heart with contaminant germs using unsterile technique. Your simple cut does not rise to the level of risk needed to produce this disease. ...Read more

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Is there much of a link between flossing and/or using mouthwash and infective endocarditis?

Is there much of a link between flossing and/or using mouthwash and infective endocarditis?

Good oral hygiene: We know there is a link between gum disease and heart disease. It sounds like you might be practicing good oral hygiene habits. For that I commend you. If you don't have a problem endocarditis then the procedures should affect you. If you do have a problem then the likelihood of them causing a problem, in my opinion, is very minimal. ...Read more

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I have mild MVP with mild regurgitation. Am I at risk of infective endocarditis?

MVP: We generally consider valve lesions with hemodynamic abnormalities with high velocity flows to be at increased endocarditis risk. If you have some mitral regurgitation then you are at increased risk compared to no mitral regurgitation. ...Read more

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Has subacute infective endocarditis ever been known to resolve w/o treatment? Had symptoms yrs ago incl. What looked like janeway+osler lesions, ~3 mo

The problem with: This infection is that it WILL NOT resolve without treatment! It will untreated go on to slowly dissolve the heart valve and "plant" itself in other organs!



Hope this helps! Get treatment and FOLLOW it! It's a FRUSTRATING infection but it IS treatble!


Hope this helps!
Dr Z ...Read more

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Why does infective endocarditis attack the mitral valve and not the other ones?

Why does infective endocarditis attack the mitral valve and not the other ones?

It affects all valve: The left sided valves (aortic and mitral) are commonly the most fequent infected. This can result from dental work, infections elsewhere.
The right sided valves can get infected too with the tricuspid eing more frequently involved. Ths is seen in I've drug users frequently. ...Read more

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I have had 2 tricuspic valve replacement one in july 2015 & another in November 2015. I had infective endocarditis and now have pain left of incision.

I have had 2 tricuspic valve replacement one in july 2015 & another in November 2015. I had infective endocarditis and now have pain left of incision.

Tricuspic valve repl: Do you do drugs?, You had the valve replaced twice within 4 months. DO you know the organism?
For how long were you on IV antibiotics, the first and second times. Before the first operation, were you on antibiotics? Was the organism resistant?
Did you had pulmonary septic embolism?
Is the pain constant, do you have fever, is it localized, is the area of pain expanding? If yes to all you may have ...Read more

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My 8 year old had surgery for infective endocarditis and IV antibiotics for 6 weeks post op. What are the chamces of getting it again?

Talk to your doctor: Treatment with IV antibiotics for 6 weeks is the recommended treatment, but your doctor can tell you specifically how much, if any, chance there is of it happening again. It depends on the germ, the antibiotics, how long it had been going on, the surgery, and the child's overall health. Your heart doctor is the one who needs to specifically answer your question. ...Read more

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My daughter had mitral valve surgery. In 2009 and recently got infective endocarditis and had to have another mitral valve repir. Will there be more su?

See below: There could be more surgeries. If the child is 8 years old the size of the mitral valve may need to be increased as she grows. This is outside of the damage that endocarditis can do to the valve. ...Read more

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Is there possible that from a cut with dirty blade, that had no local signs of inflamaton, occur a sepsis, tetanus, infective endocarditis or bacteremia?

Is there possible that from a cut with dirty blade, that had no local signs of inflamaton, occur a sepsis, tetanus, infective endocarditis or bacteremia?

Yes.: It is possible for infection to enter the bloodstream from a rather inocuous cut, however, it is a pretty rare event. If you are feeling ill, visit a local doctor or emergency room and be examined to be sure that you don't have anything more serious than a minor cut. ...Read more