Doctor insights on:
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
...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 ...Read more
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 moreSee 3 more doctor answers
No: Sbe comes about from bacteria in the circulation lodging in a blood stream dead space in the heart usually due to valvular dysfunction or congenital abnormalities of cardiac surface. They then proliferate in that nutrient rich space can shed bacteria into the brain, eye and other parts of the body. The glass in question would have to be infected and your body have an opening for that infection. ...Read moreSee 1 more doctor answer
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
Why does subacute bacterial endocarditis may give embolic manifestation but not in acute rheumatic fever?
Debris breaks off : Rheumatic fever is a misguided attack on your heart by your own immune system. Rheumatic fever creates damage that can cause susceptiblity to endocarditis. In bacterial endocarditis, colonies of bacteria develop on a heart valve or other intravascular structure. Clumps of bacteria, infection fighting cells or other debris can break off and travel through the body. ...Read moreSee 1 more doctor answer
Can you advise me if having piercings with a prosthetic heart valve. subacute bacterial endocarditis?
No clear guidelines: Prosthetic valve indicates increased risk of endocarditis. Even under current, stricter AHA guidelines, you would need SBE prophylaxis before high-risk procedures, like dental cleaning/extractions, tonsillectomy, I&D of abscesses. No clear data about body piercings, so different MDs have different approaches. Discuss with your MD, but clean the area very well & care for the site after. Take care! ...Read more
AHA Guidelines: The aha (american heart association) has the latest guidelines for antibiotic prophylaxis to help prevent subacute bacterial endocarditis. The indications for premedication underwent revision and changed several years ago, and most dentists and surgeons follow the aha guidelines. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Type of endocarditis: It depends on 'what' form of endocarditis you have - subacute infective endocarditis might present with few symptoms, although often there is 'something'. Different bacteria also exert different effects. The WBC can be suppressed for various reasons as well. I would suggest getting an Infectious Diseases specialist to look into your case. They have the best knowledge for this disease entity. ...Read more
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
Endocarditis: Bacterial infection of the heart valves is rare. Any valve can become infected, but usually an abnormal or damaged valve is the most susceptible. Mitral valve prolapse is one of the more common valve abnormalities and may be more likely to get infection. ...Read moreSee 3 more doctor answers
Virus like influenza can cause endocarditis, is the risk for serious complications as bad as bacterial endocarditis when the virus lifespan is shorter?
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
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
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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