The clinical manifestations of infective endocarditis.

摘要: Frequently, the presence of endocarditis is disguised. The emphasis this description clinical manifestations on various modes presentation, rather than individual symptoms and signs. Endocarditis can manifest with cardiac, pulmonary, ophthalmic, central nervous system, renal, orthopedic, phthisic, peripheral vascular disorders. following data are most useful in helping to establish a diagnosis endocarditis: history fever, anorexia, weight loss, back pain; search for petechiae; splenomegaly; daily examination, especially cardiac auscultation funduscopic those patients whom incomplete evidence exists at admission. helpful laboratory tests include revealing anemia, increased erythrocyte sedimentation rate, abnormalities urine compatible nephritis, or embolization. In who have not received antimicrobial therapy just before diagnostic workup, one set three blood cultures sufficient isolate offending microorganism about 95% cases.