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Endocarditis
What is endocarditis?
Endocarditis is an infection of the endocardium, the membrane
that lines the inside of the four chambers or the heart valves.
What causes endocarditis?
Typically endocarditis is caused by bacteria, frequently
by group A strep. However, infections by other types of bacteria are on
the rise as well as other microorganisms including fungi and viruses (1).
Risk Factors?
Endocarditis rarely occurs in people with normal hearts. However, if
you have certain preexisting factors you are at an increased risk of
developing endocarditis.
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Pre-existing structural abnormalities
in the heart or valves.
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Immune Compromised (e.g. diabetes,
HIV, cancer)
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IV drug users
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Prosthetic heart valves
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Pre-existing heart disease
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History of previous endocarditis
Complications of Endocarditis
According to the Centers for Disease Control, the mortality rate for
endocarditis runs about 50%. If left untreated patients could die. Possible
complications
include:
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Congestive heart failure
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Arrhythmias (irregular heartbeats)
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Atrial fibrillation
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Emboli (traveling blood clots
or bacterial/fungal vegetations) to the brain, kidneys, lungs,
or abdomen.
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Abscesses in the heart
Reference:
Eisner, Michael D. Cleveland Clinic Heart Book. CMD Publishing.
2000. pgs 114-115.
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