Advertisement

Management of Infective Endocarditis

Chapter
Part of the Contemporary Cardiology book series (CONCARD)

Abstract

Infective endocarditis (IE) most often results from bacterial infection, but infections caused by fungi, Coxiella, or Chlamydia are not rare. Infection usually involves heart valves not always previously known to be abnormal, in particular a bicuspid aortic valve, mitral valve prolapse, or (rarely) a septal defect or ventricular aneurysm. Coarctation of the aorta, patent ductus arteriosus, aneurysms, or arteriovenous shunts may be the site of infective endarteritis. Prosthetic valves may be involved, and infection at the site of implantation of foreign material including devices poses a particularly difficult problem.

Keywords

Kawasaki Disease Infective Endocarditis Prosthetic Valve Bicuspid Aortic Valve Mitral Valve Prolapse 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Karchmer AW. Infective endocarditis. In: Braunwald E. Heart Disease. Philadelphia, WB Saunders, 2005, pp. 1633–1643.Google Scholar
  2. 2.
    Baddour LM, Wilson WR, Bayer AS, et al. Infective Endocarditis Diagnosis, Antimicrobial Therapy, and Management of Complications: A Statement for Healthcare Professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association—Executive Summary: Endorsed by the Infectious Diseases Society of America. Circulation 2005;111:3167–3184.CrossRefGoogle Scholar
  3. 3.
    Bayer AS, Bolger AF, Taubert KA, et al. Diagnosis and management of IE and its complications. Circulation 1998;8:2936.Google Scholar
  4. 4.
    Towns ML, Reller LB. Diagnostic methods as current best practices and guidelines for isolation of bacteria and fungi in infective endocarditis. Infect Dis Clin North Am 2002;16:363.PubMedCrossRefGoogle Scholar
  5. 5.
    Walker LJE, Adgey AAJ. Successful treatment by doxycycline of endocarditis caused by ornithosis. Br Heart J 1987;57:58.PubMedCrossRefGoogle Scholar
  6. 6.
    Robbins MT, Soeiro R, Frishman WH, et al. Right-sided valvular endocarditis: Etiology, diagnosis, and an approach to therapy. Am Heart J 1986;111:128.PubMedCrossRefGoogle Scholar
  7. 7.
    Reeves D. The frequency of ototoxicity—a review of the literature. In: Richardson RG (ed). Round Table Discussion on Gentamicin and Tobramycin (R Soc Med Int Congr Symp Ser 4, p 45). London, Academic Press, 1978.Google Scholar
  8. 8.
    Cohen J. Antifungal chemotherapy. Lancet 1982;2:1323.Google Scholar
  9. 9.
    Horstkotte D, Sick P, Bircks W, et al. Effectiveness of antibiotic prophylaxis to prevent prosthetic valve endocarditis: evidence in humans. J Am Coll Cardiol 1991;71:2125.Google Scholar
  10. 10.
    MacMahon SW, Hickey AJ, Wilcken DEL, et al. Risk of infective endocarditis in mitral valve prolapse with and without precordial systolic murmurs. Am J Cardiol 1986;58:105.Google Scholar

Suggested Reading

  1. Baddour LM, Wilson WR, Bayer AS, et al. Infective Endocarditis Diagnosis, Antimicrobial Therapy, and Management of Complications: A Statement for Healthcare Professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association—Executive Summary: Endorsed by the Infectious Diseases Society of America. Circulation 2005;111:3167–3184.CrossRefGoogle Scholar
  2. Lewin MB, Otto CM. The bicuspid aortic valve: adverse outcomes from infancy to old age. Circulation 2005;lll:832–834.CrossRefGoogle Scholar
  3. Moreillon P, Que YA. Infective endocarditis. Lancet 2004;363:139–149.PubMedCrossRefGoogle Scholar

Copyright information

© Humana Press Inc., Totowa, NJ 2007

Personalised recommendations