infectious endocarditis…

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heart, section, the middle, heart, infective endocarditis, janeway lesion on the finger, endocarditis, infectious, infectious endocarditis, infection, the lining, the heart chambers, heart valves, bacteria, viruses, fungi, infectious agents, infectious endocarditis, inflammation, the heart valves, affect the heart muscle, myocarditis, lining, the heart, pericarditis, most people who develop infectious endocarditis have underlying heart disease, infection bacteremia, bacteria, in the blood, is common, dental, upper respiratory, urologic, lower gastrointestinal diagnostic, surgical procedures, infection, cause growths on the heart valves, lining, the heart, lining, the blood vessels, growths, form clots that break off, travel, brain, lungs, kidneys, spleen, many bacteria, cause endocarditis, an organism commonly found, in the mouth, streptococcus viridans, approximately half of all bacterial endocarditis, common organisms include staphylococcus, enterococcus, less common organisms include pseudomonas, serratia, candida, many others, symptoms of endocarditis, develop slowly, subacute, suddenly, acute, fever, hallmark of both, slower form, fever present on a daily basis, other symptoms appear, nonspecific, fatigue, malaise, general discomfort, headache, night sweats, the illness progresses, small dark lines, splinter hemorrhages, appear under the fingernails, hear changing murmurs, in the heart, detect an enlarged spleen, mild anemia, murmurs result from changes in blood flow across valves, clumps of bacteria, fibrin, cellular debris, vegetations, collect on the heart valves, mitral valve, commonly affected, followed by the aortic valve, preexisting conditions that increase the likelihood of developing endocarditis, congenital heart disease, atrial septal defect, patent ductus arteriosus, prior rheumatic heart disease, cardiac valve anomalies, mitral insufficiency, artificial heart valves, streptococcus viridans, found, in the mouth, dental procedures, the most common cause of bacterial endocarditis, put children, congenital heart conditions at risk, common practice, children, forms of congenital heart disease to start on antibiotics, prior to any dental work, fatigue, weakness, fever, chills, night sweats, severe, weight loss, muscle aches, pains, heart murmur, shortness of breath, swelling of feet, legs, abdomen, blood, in the urine, excessive sweating, red skin spots on the palms, soles, janeway lesions, paleness, nail abnormalities, splinter hemorrhages under the nails, joint pain, abnormal urine color, red, painful intradermal nodes, in the pads, the fingers, toes, osler's nodes, a history of congenital heart disease raises the level of suspicion, a physical examination, an enlarged spleen, examiner, detect a new heart murmur, a change, previous heart murmur, examination, the nails, splinter hemorrhages, eye examination, retinal hemorrhages, a central area of clearing, roth's spots, following tests, repeated blood culture, sensitivity, #1 test, detection, esr, erythrocyte sedimentation rate, cbc, complete blood count, low grade, microcytic, small red blood cells, anemia, echocardiogram, transesophageal echocardiogram, chest x-ray, ct scan, the chest, aso, anti-streptolysin o, hospitalization is required initially to administer intravenous antibiotics, long-term, high-dose antibiotic therapy is required to eradicate the bacteria, heart chambers, vegetations on the valves, therapy up to 6 weeks is not uncommon, chosen antibiotic must be specific, the organism causing the condition, determined by the blood culture, sensitivities tests, heart failure develops, a result of damaged heart valves, surgery to replace the affected heart valve indicated, early treatment of bacterial endocarditis, a good outcome, heart valves damaged, diagnosis, treatment is delayed, congestive heart failure, treatment is delayed, blood clots, emboli that travel to brain, kidneys, lungs, abdomen, causing severe damage, arrhythmias, irregular heartbeat, atrial fibrillation, glomerulonephritis, severe valve damage, stroke, brain abscess, neurologic changes, jaundice, note the following symptoms, after treatment, weight loss, change in diet, blood in urine, chest pain, weakness, numbness, weakness of muscles, fever, preventive antibiotics, given to people, predisposing congenital, valvular abnormalities, dental procedures, surgeries involving the respiratory, urinary, intestinal tract, continued medical follow-up is advised, a previous history of infective endocarditis, intravenous drug users, at risk, condition, unsterile injecting practices increase the exposure, the bloodstream to infectious agents, addiction, sought, not possible, use of a new needle, each injection, avoiding sharing any injection-related paraphernalia, use of alcohol pads to sterilize the injection site, reduce risk.