Endocarditis causes, symptoms, diagnostics – Treatment, endocarditis prophylaxis

Endocarditis

What is endocarditis?

Endocardium is a thin membrane (lining), which covers the inner surface of the heart. Endokardit – inflammation of the shell and the internal valvular.

Endocarditis causes

Causes of endocarditis include:

  • Bacterial infection, which is the most common cause and cause bacterial endocarditis;
  • Viral and fungal infections;
  • Medical disorders, which cause the acceleration of blood coagulation, with the result that there is a form of non-infectious endocarditis.

Risk factors for endocarditis

Factors, that increase the risk of endocarditis include:

  • The presence of an artificial heart valve;
  • Have episode of endocarditis in the past;
  • History of rheumatic fever, which may damage the heart valves;
  • Heart defects;
  • The increased size of the heart;
  • Mitral valve prolapse;
  • The use of intravenous drugs;
  • Procedures, which can lead to bacterial endocarditis:
    • Brushing your teeth from plaque;
    • Tonsillectomy and adenoidectomy;
    • Bronchoscopy;
    • Operation of the gastrointestinal tract, urogenital or respiratory system;
    • Operation on gallbladder or prostate.

Endocarditis symptoms

Symptoms include endocarditis:

  • Fever, chills;
  • Weakness;
  • Sweating, especially at night;
  • Breathlessness;
  • Cough;
  • Loss of appetite, weight loss;
  • Chest pain;
  • Abdominal pain;
  • Nausea and vomiting;
  • Painful red bumps on the fingers and toes;
  • Purple dots on the whites of the eyes, under the nails and in the collarbone;
  • Painful red patches on the fingers, palms and soles.

Diagnosis of endocarditis

The doctor will ask about your symptoms and medical history, and perform a physical examination. It will check for the presence of heart in it unusual sounds, called murmurs.

Tests include:

  • An analysis of bodily fluids, which can be used for blood;
  • To study the shapes and movements of the heart is used echocardiography.

Endokardit – treatment

Treatments may include endocarditis:

  • Antibiotics – treatment with intravenous antibiotics, usually lasts 4-8 weeks;
  • Heart surgery – assigned to repair or replace the valve, if it is severely damaged, or there is a risk of cardiac arrest.

Endocarditis prophylaxis

If you are at high risk of contracting endocarditis:

  • Maybe, you have to take antibiotics before certain dental or medical procedures;
  • Consult with your dentist or doctor before performing medical procedures.

Antibiotic prophylaxis is recommended for people with the following conditions:

  • There are various forms of congenital heart disease – heart defects;
  • Installed artificial heart valves;
  • The presence of endocarditis in the past;
  • Patients, waiting for a heart transplant, and having a disease of the heart valves.

Avoid intravenous drug use and reduce the risk of contracting endocarditis.

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