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admin | What Antibiotics Treat Bv | 10.04.2014
Endocarditis usually develops from a congenital or acquired valvular abnormality but also on a prior heart prosthesis in place for serious valve problem. This injury allows adhesion of platelets and fibrin which are then colonized by germs usually streptococci or some strains of enterococci of digestive origin. Endocarditis may also occur in the absence of valvular lesions.
Vegetations and ulcerations will then develop on the valves concerned: according to their importance it is possible to see valve perforations but also providing quick ejections cardiac consequences serious. The front door is suspected or confirmed in more than two thirds of cases. It is in order of frequency dental, digestive, skin and urological. The frequency of endoscopies and gestures as vascular invasive cardiac catheterization and prosthetics and stents do increase the risk of endocarditis. It also has other signs indicating this time a left cardiac given the preferential localization of the left heart endocarditis sweat with a more or less breathlessness, effort and at rest, persistent cough, an irregular or fast heart rate also favored by fever. Signs of right heart failure in cases of infringement of the right heart valves (tricuspid and pulmonary) with lower limb edema, enlarged liver (hepatomegaly) and turgescence of the jugular veins seen at the base of the neck. Echocardiography conventional trans thoracic improved the diagnosis of infective endocarditis but trans esophageal echocardiography allows diagnosis finer and more accurate localization of valvular and extra valves. The Doppler will better appreciate the importance of a leak in a valve, heard on auscultation, including a prosthesis or to identify a fistula. On prosthetic valves, ultrasound shows an abnormal movement of rocking of the prosthesis during an avulsion at the attachment ring.


Early diagnosis will occur before the lesions are large and the choice of antibiotics will be widely facilitated if a germ has been identified in blood cultures.
In heart failure or non control of infectious endocarditis on the plan that is inefficient antibiotic intervention is indicated for changing the valve and damage to a prosthetic valve.
After surgical treatment, antibiotics will be continued for six weeks.  Abscesses are usually treated surgically. Finally the treatment of endocarditis on pacing (pace maker) based on medical treatment, associated the withdrawal of the probe can be difficult because embedded in the myocardium is sometimes necessary to perform surgical removal, in any case preferable to facing large vegetations.
In people at high risk of endocarditis, any situation that could cause the introduction of bacteria into the blood poses a risk of infection. Copyright © 2012 Rayur, All trademarks are the property of the respective trademark owners.
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This is an inflammation caused by infection of the endocardium and heart valves primarily. This inflammation is the cause of these deformities, valves that are no longer able to ensure their role in cardiac contraction.
Incidence of infective endocarditis in England, 2000a€”13: a secular trend, interrupted time-series analysis.
Examination of the nails may show splinter hemorrhages. An eye exam may show bleeding in the retina a central area of clearing. Long-term antibiotic therapy is needed to get the bacteria out of the heart chambers and valves. Patients will usually have therapy for 4-6 weeks.



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