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Infective Endocarditis

Infective Endocarditis is when the surface of the heart becomes infected by bacteria. Infective endocarditis can cause the tissue within the valve to deteriorate and leak.

Causes and risk factors

IE occurs when germs enter the bloodstream through procedures, surgeries, intravenous drug use, or infections elsewhere in the body. Those at higher risk include individuals with:

  • Artificial or damaged heart valves
  • Congenital heart defects
  • Previous endocarditis
  • Heart valve disease
  • IV drug use or long-term catheter use

Symptoms

Symptoms can develop gradually or suddenly, depending on the infection’s severity. Common signs include:

  • Fever and chills
  • Fatigue and weakness
  • Shortness of breath
  • Unexplained weight loss
  • Joint and muscle pain
  • Persistent cough
  • Skin changes, such as red or purple spots on the skin, under fingernails, or in the eyes

Severe cases may lead to stroke, organ damage, or heart failure.

Treatment for infective endocarditis

Treatment focuses on eliminating the infection and preventing complications. Most cases require hospitalization for IV antibiotics, while severe cases may need surgical intervention.

  • Antibiotics or Antifungal Medications: High-dose IV antibiotics or antifungal drugs are given for several weeks to clear the infection.
  • Surgery: If the infection severely damages heart valves, valve repair or replacement may be necessary.