INFECTIOUS DISEASES OF THE HEARTA.RHEUMATIC ENDOCARDITIS
– a unique infective endocarditis syndrome caused bythe group A beta-hemolytic streptococcal pharyngitis which occurs most often in school agechildren. The diagnosis is made primarily on the basis of the patients symptoms &echocardiography.Major Diagnostic Criteria: JONES CriteriaMinor Diagnostic Criteria: ESR, C-reactive protein, ASO, low grade fever that spikes in theafternoon, history of RHD
– may last to 4 weeks2.
– inflammation of the heart3.
– round, firm, painless, non-moving4.
– macular, popular lesions, non-itchy rash on trunk & proximalextremities5.
Syden Hams Chorea
– rapid, purposeless, erratic, jerky, uncoordinated involuntarymovements of extremities and face.
Monitor VS (esp. PR)
Antibiotics (Penicillin, Cephalosporins, Erythromycin)
Control pain like Corticosteroids or Analgesics
For Chorea initiate seizure precautions
- microbial infection of the endothelial surface of the heartwhich is most common in older people. It is caused by several microorganisms usually with prosthetic heart valves and structural cardiac defects.
a collection of major and minor criteria are used to establish a diagnosis of endocarditis. A diagnosis can be reached in any of three ways: two major criteria, one major andthree minor criteria, or five minor criteria.
Major Criteria :
Positive blood culture with typical IE microorganism
Evidence of endocardial involvement with positive echocardiogram
Minor Criteria :
Positive echocardiogram (that doesn't meet a major criterion)
Surgical valve replacement
Monitor VS; signs & symptoms of embolization, pulmonary infarction & infiltrates
Prevention of infection