Lightning Learning: Infective Endocarditis

Lightning Learning: Infective Endocarditis

“Infective Endocarditis is an infectious disease of the heart and surrounding vessels commonly seen in patients with a history of cardiac disease.”
— advice is based on local guidelines & procedures

STOP!

Infective Endocarditis (IE) is an infectious disease of the heart and surrounding vessels.

Most commonly seen in patients with a history of congenital or acquired cardiac disease or indwelling prosthetic material.

Patients can present with:

  1. Persistent low-grade fever

  2. Heart murmur

  3. Splenomegaly

  4. Cutaneous signs (e.g. petechiae, Osler’s nodes, Janeway lesions, splinter haemorrhages)

LOOK

For infective endocarditis, you must have the triad of: endothelial damage, platelet aggregation and microbial adherence.

 

Common causative organisms?

  • Staphylococcus Aureus

  • Streptococcus Viridans

  • Streptococcus Pneumoniae

Investigations?

  • Multiple blood cultures

  • Echo

Diagnosis?

  • Modified Dukes criteria

 

LEARN

  • Teach Me Paediatrics: Infective Endocarditis
  • Management? IV empirical antibiotics until sensitivity known. Surgical intervention dependant on a number of factors (e.g. valvular dysfunction)

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