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Revista Médica Sinergia

2021, Number 01

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Revista Médica Sinergia 2021; 6 (01)

Infective endocarditis

Núñez GA, Campos QM, Molina CD

Language: Spanish
References: 15
Page: 1-13
PDF size: 200.33 Kb.


ABSTRACT

Infective endocarditis, is a rare disease that mainly affects native valves related to health care, occurs more frequently in adults over 60 years of age and in the male sex. Its predisposing factors over time have been changing, mainly in developed countries, displacing rheumatic fever. There are many microorganisms involved in the pathology and its distribution at a global level has remained stable, with the Gram-positive Cocos bacteria being the most frequent colonizers. For an infection to exist, there must be bacteremia under local conditions that allow endocardial proliferation and invasion. It should be suspected in all patients with fever associated with constitutional symptoms and risk factors for endocarditis, the diagnostic methods of choice are blood cultures and echocardiography respectively. The treatment is based on the eradication of the microorganism, antibiotic broad-spectrum therapy and surgery is reserved for cases that develop complications that can only be treated in the operating room. Antibiotic prophylaxis is only recommended in patients at risk.


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