Infective Endocarditis

5. Relative risk for infective endocarditis 1) Relative high risk : Prosthetic heart valve, Aortic valve disease, MR, PDA, VSD, Coarctation, Marfan syn. 2) Intermediate risk : MVPS, MS, TS, PS, IHSS. 3) Very low risk : ASD, Atherosclerosis, 매독성 동맥염, Pace maker. 6. Clinical manifestation 1) Fever (usually low grade) 2) Cardiac murmur 3) Anemia 4) 심부전의 증상 : Dyspnea, Splenomegaly 5) Microembolus에 의한 증상 ① Petechiae ② Splinter hemorrhage : 손톱 밑에 생기는 선상 출혈 ③ Janeway`s lesion ; Nontender macular hemorrhage area on the parm and sole. ④ Roth`s spot: oval retinal hemorrhage with clear pale center ⑤ Osler`s node : small and tender erythematous nodule on the finger and toe pads 6) Clubbing 7. Diagnosis : Blood culture (외국: 90-95% , But 우리나라는 항생제의 남용으로 60%에 불과) 8. Complication 1) Congestive heart failure (사망의 가장 많은 원인) 2) 색전증 (비장-신장-관동맥-뇌) 3) 신부전 4) Mycotic aneurysm 9. Poor prognosis of infective endocarditis 1) nonstreptococa…
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