Infective Endocarditis Case Study

Therefore, the overall prognosis is guarded in view of the underlying pathology, its extent and the post-operative respiratory insufficiency. The life expectancy is difficult to anticipate but the

the mitral valve 16 months ago and a Streptococcus mutans infection of the aortic valve 1 month ago.

Myocarditis is inflammation of the middle wall of the heart that is caused by infection. The causes of this infection is other infections such as upper respiratory infections, lime disease, cocaine use or other toxic chemical exposure such as spider bites, metal poison, or snake bites but all of which are uncommon except for upper respiratory infections. There may be no signs or symptoms or they may cause heart murmurs or abnormal heart rhythms or shortness of breath or swelling. Myocarditis can affect the muscles as well as the hearts electrical system or a clot could form causing heart attacks or strokes. This is a very dangerous infection. There are treatments for this infection such as beta blockers and diuretics for less severe cases or IV antibiotics or intra-aortic balloon pumps for the more severe cases. However if left untreated it can cause CHF and or

This past Friday in the cardiac catheterization lab I began my day with continuing the work that I was previously assigned to do last week where I collected the data of patient's Cardiothoracic surgery. I continued to familiarize myself with the different types of Cardiothoracic surgery procedures, however, the specific reports I was working with, they are called TAVR report (Transcatheter Aortic Valve Replacement). I later learned and was explained to, the TAVR multiple procedures and its causes, which is aortic stenosis. As for the procedures, a valve needs to be placed in the heart and each procedure delivers it a different way. The three ways the valve can be placed in the heart is through the heart's femoral artery (the transfemoral approach),

The Healing Hospital paradigm is a new aspect that many hospitals are now taking into consideration, although modern medicine has many branches which in most cases have based their principles on scientific medical attention that involved the use of drugs to achieve the desired effects needed for a patient’s revival or progress health wise. However with the inclusion of the healing paradigm, most hospitals are seeing a positive increase in patient response to treatment and faster recovery time. Healing as the Oxford English Dictionary states, is the process of making or becoming sound or healthy again

Overall, the literature review is strong with relevant primary citations and leaves the reader feeling confident regarding the state of research into post-discharge follow-up care in cardiac surgery patients. The concerns of this population after discharge are enumerated and supported by twenty years of research. In addition, the authors itemize other strategies that have been developed to improve outcomes for this population, while highlighting inconsistencies and the need for further

This article looks at negative effects after surgery that can be avoided by ambulating patients early. The purpose of this study is to provide evidence to the outcomes of mobilizing patients versus not mobilizing them. The article states that

A. Etiology – Most of the time sepsis is caused by “hospital-acquired gram-negative bacilli or gram-positive cocci and often occur in immunocompromised patients and patients with chronic and debilitating diseases” (Maggio). Sepsis “may be associated with the introduction of microbes into the blood stream directly via” invasive hospital instruments (Cuna).

The purpose of this paper is to analyze if there is any improvement, post-operative complications, mortality and related factors of elderly undergoing cardiac surgery. The debate whether or not we are pushing the limits is still questionable because of the complications associated with these invasive surgeries and whether or not if it’s a money game. The growing numbers of the elderly patients enjoy a prescription drug benefit, access to artificial knee and hip surgery, and life-saving cardiovascular interventions that were undreamed of a half-century ago.

Infective endocarditis has been around for many centuries. A man named Lazaire Riviere, while performing an autopsy, first discovered infective endocarditis in 1674 (Brusch, 2015). Since the first findings documented were after death, there was still much research to do in this area of cardiovascular science. William Olser was the first person to compile an in-depth explanation of infective endocarditis in English in the year of 1885. Furthermore, in 1966, the first modern-times symposium of infective endocarditis was developed as a series of journal articles by authors Lerner and Weinstein, which was published in the New England Journal of Medicine (Brusch, 2015). Although the understanding and research of this disease is well understood

Infective endocarditis is the inflammation of the damaged parts of the heart due to an infection usually from elsewhere in the body. In this disease the endocardium (the inner lining of the heart) is inflamed and can lead to damaged heart valves and to other life-threatening complications. William Osler was the first one to recognize this disease and gave a name to it in 1885 in his Gulstonian lectures.

In our case, the patient responded to antibiotics and became asymptomatic within 4 weeks of appropriate antibiotics, even though echocardiography showed only mild decrease in the size of vegetation. As she was asymptomatic and inflammatory markerswere normalized, we did not consider the option of surgery and put the patient on regular follow up. A review of the publisheddata indicated that the role of surgery in isolated pulmonic valveendocarditis is unclear. Recurrent pulmonary emboli are not anindication for surgery, which is only needed if fever persists despite3 weeks of appropriate antibiotic treatment in the absence of a pulmonary abscess [6]. Surgical options include debridement ofthe infected area, vegetation excision with either valve preservation or valve repair or valve replacement

Diagnosis of PVE caused by this microorganism is often delayed due to oligosymptomatic and nonspecific presentation, hence microbiological confirmation is pivotal for adjusting treatment. Unfortunately, aside for establishing positivity of blood and/or tissue cultures, there is no further elaboration on the microbiological techniques employed to diagnose P. acnes in this study, probably due to its retrospective design. It would also be interesting to know the incidence of neurologic symptoms in this case series of 13 patients, as these are more commonly observed in P. acnes PVE than in any other type of infective endocarditis (x).

Doctors, machinery, patients, and the costs for each type of medical condition, and individuals who are treated in the healthcare field are all part of this system. I never knew that the outcome and results of certain medical problems are divided up into a three-tier system. It makes sense that the first tier is the health status patients with so+me degenerative conditions have, survival a big part of this process. The second tier is concerned with outcomes that are associated with the recovery process. This includes how uncomfortable a patient is physically, any retreatment that is required, short-term complications, mistakes, and consequences that affect the patient. The third tier is concerned with the patient being able to maintain one’s

Heart Infections- The heart can be infected by certain diseases like (Pericarditis) which affects the tissue surrounding the heart, (Myocarditis) these are the diseases that affects the muscular middle layer of the walls of the heart and (Endocarditis) which affects the inner membrane that separates the chambers and valves of the heart. Their symptoms varies slightly but generally are