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Cardiovascular Infection
1.Pericarditis 2.Myocarditis 3.Endocarditis 4.Pancarditis 5.Septic shock (SIRS)
Etiologic agents Gram (+) coccus Staphylococcus aureus S.epidermidis Streptococcus viridans S.pneumoniae S.pyogenes Enterococcus Gram(-) coccus Neisseria meningitidis N.gonorrhoeae
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Gram(-) bacil : Haemophylus influenzae & many others (E.coli,K.pneumoniae) Chlamydia trachomatis Chl.psittaci Rickettsia
Fungi : Candida albicans
Virus : HIV,DHF
nonInfection: exotoxin C.diphtheriae Rheumatic heart disease
S.pneumoniae
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E.coli
Streptococcus viridans
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Enterococcus
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Chlamydia:inclusion bodies
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Diphtheria :child
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Treponema pallidum
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Source of Infections
Teeth:dental procedure,poor dental hygienne Lung infection Throat Bacteriaemia IVFD & IV drug abuser Catheterization Others (surgery)
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Bacterial Endocarditis
(acute & subacute bacterial endocarditis)
Bacterial infection of the endocardium Symptoms of systemic infection,embolic pneumonia, and endocardial vegetations.
The course of infection maybe acute or subacute, depending on the virulence of infecting bacteria.
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Laboratory Diagnosis
Serology
PCR
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Pathogenesis
Microbelymphatic systembloodheart valvesbacterial attachmentcolonization infection:- covered by fibrin & platelets - protect from phagocytes & complement - embolism if dislodge
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Treatment
1.Antimicrobial / antibiotics 2.Antifungal 3.Antiviral 4.Supportive therapy
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Thank you
Thank You
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