Treatment FAQ

what is endocarditis treatment

by Claudia Reynolds Published 2 years ago Updated 2 years ago
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Most cases of endocarditis can be treated with a course of antibiotics. You'll usually have to be admitted to hospital so the antibiotics can be given through a drip in your arm (intravenously). While you're in hospital, regular blood samples will be taken to see how well the treatment is working.

Medication

The initial symptoms of endocarditis are similar to flu and include:

  • a high temperature
  • chills
  • headache
  • joint and muscle pain

Procedures

Bacterial endocarditis is an infection of the heart’s inner lining or heart valves. It's a serious condition that needs to be treated right away. Endocarditis can cause serious complications. It can also lead to death. See a healthcare provider right away if you have any symptoms of endocarditis.

Nutrition

The answer is yes, endocarditis is a life threatening disease. Endocarditis is the inflammation of the mural endocardium, which is the innermost layer of the heart. Typically in this disease cardiac valves are affected, but it may also involve the septum and endocardium structures and often associated to destruction of tissue involved.

What happens if endocarditis is not treated?

  • Shortness of breath more marked during a physical exertion
  • Cough
  • A new or alteration in your present heart murmur
  • Unexplained weight loss
  • Nausea and Vomiting
  • The appearance of red spots and raised lumps in your hands and feet

How serious is endocarditis?

Is endocarditis life threatening?

How do you test for endocarditis?

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How do doctors treat endocarditis?

Many people with endocarditis are successfully treated with antibiotics. Sometimes, surgery may be needed to fix or replace damaged heart valves and clean up any remaining signs of the infection.

What is the main cause of endocarditis?

Endocarditis begins when germs enter the bloodstream and then travel to the heart. Bacterial infection is the most common cause of endocarditis. Endocarditis can also be caused by fungi, such as Candida. In some cases, no cause can be found.

What are the warning signs of endocarditis?

Common signs and symptoms of endocarditis include:Aching joints and muscles.Chest pain when you breathe.Fatigue.Flu-like symptoms, such as fever and chills.Night sweats.Shortness of breath.Swelling in your feet, legs or abdomen.More items...•

Is endocarditis easily treated?

Endocarditis is treated with a course of antibiotics given via a drip. You'll need to be admitted to hospital for this. Some people also need surgery to repair or replace a damaged heart valve or drain away any abscesses that develop. Endocarditis is a serious illness, especially if complications develop.

Can a tooth infection cause endocarditis?

In very rare cases, bacteria in the mouth may trigger endocarditis in people at higher risk. Here's what happens: Bacteria found in tooth plaque may multiply and cause gingivitis (gum disease). If not treated, this may become advanced.

How long can you live with endocarditis?

Global survival was 75% at 6 months, and 57% at 5 years. The only non-significant factor was IE location. The annual instantaneous risk of death was 0.55 at 6 months, 0.18 at 1 year, then 0.03. After one year, the only prognostic factor was age.

How long are you in hospital with endocarditis?

Usually, you will stay in the hospital for about a week to receive them through an IV. You may need IV antibiotics for between 2 and 6 weeks, but some of that might be from home.

How is endocarditis detected?

Blood test If your doctor suspects you have endocarditis, a blood culture test will be ordered to confirm whether bacteria, fungi, or other microorganisms are causing it. Other blood tests can also reveal if your symptoms are caused by another condition, such as anemia.

Is endocarditis a medical emergency?

Background. Infective endocarditis (IE) is a serious disease that requires prompt recognition and early treatment to minimize morbidity and mortality. However, it remains an elusive diagnosis for the emergency physician (EP) due to its protean manifestations.

What does a heart infection feel like?

General symptoms of a heart infection include chest pain, fever, and shortness of breath. These symptoms can also be present with a life-threatening condition, such as heart attack. Seek immediate medical care if you, or someone you are with, have these symptoms.

What are the symptoms of a heart infection?

What are the symptoms of a heart infection?Chest pain.Fatigue.Fever.Fluid buildup (edema) in the legs, ankles, feet or abdomen.Joint pain or body aches.Night sweats.Rapid heartbeat (arrhythmia) or pounding heartbeat (heart palpitations).Shortness of breath (dyspnea).

What is the first line treatment for endocarditis?

Initial empiric therapy in patients with suspected endocarditis should include vancomycin or ampicillin/sulbactam (Unasyn) plus an aminoglycoside (plus rifampin in patients with prosthetic valves).

How long does endocarditis last after a transcatheter?

Congenital heart disease that is completely repaired by surgery or with a transcatheter device. Endocarditis prevention is reasonable for at least 6 months following the device implant.

How to tell if you have bacterial endocarditis?

Sometimes doctors insert an ultrasound probe into the esophagus or “food pipe” (transesophageal echo) to obtain a closer more detailed look at the heart. Other signs and symptoms of bacterial endocarditis include: Emboli (small blood clots), hemorrhages (internal bleeding), or stroke. Shortness of breath. Night sweats.

What is the term for a virus that attacks the heart valves?

Infective endocarditis (IE) [also called bacterial endocarditis (BE), or depending on acuity acute or subacute or chronic bacterial endocarditis (SBE) ] occurs when germs (usually bacteria) enter the blood stream and attach to and attack the lining of the heart valves. Infective endocarditis causes growths (vegetations) on the valves, ...

What does an echocardiogram show?

Echocardiogram (ultrasound of the heart) may show growths (vegetations on the valve), abscesses (holes), new regurgitation (leaking) or stenosis (narrowing), or an artificial heart valve that has begun to pull away from the heart tissue.

What is a dental procedure?

All dental procedures that involve manipulation of gingival tissue or the periapical region of teeth, or perforation of the oral mucosa. Procedures of the respiratory tract or infected skin, tissues just under the skin, or musculoskeletal tissue. Link to Prevention of Bacterial Endocarditis Wallet Card.

What is the purpose of the American Heart Association review of the scientific literature?

The American Heart Association conducted a review of the scientific literature to determine the value and effectiveness of antibiotic prophylaxis (preventive antibiotics) before such procedures in reducing the risk of bacterial endocarditis.

Can endocarditis be prevented?

Not all endocarditis can be prevented. Call your doctor if you have symptoms of an infection (See signs of infection listed above). Do not wait a few days until you have a major infection to seek treatment. Colds and the flu do not cause endocarditis.

What is the treatment for infective endocarditis?

Treatment options for infective endocarditis generally include drugs and surgeries. Endocarditis, also called infective endocarditis, is a bacterial or fungal infection of the inner lining of the heart or heart valves. Endocarditis can be life threatening, but most people recover with prompt treatment. Infective endocarditis is generally treated ...

What type of surgery is needed for endocarditis?

Types of Surgical Procedures for Endocarditis. The type of surgical procedure recommended will depend on the problem. People with congestive heart failure or valve damage may need a heart valve replacement with a prosthetic (manmade) valve.

Why is endocarditis harder to treat than bacterial?

If the endocarditis is caused by a fungus, because fungal infections are harder to treat than bacterial infections. If the infection is not clearing with antibiotics, or if the bacteria causing the infection have become resistant to antibiotics. If the infection has damaged the heart valves.

Why do doctors recommend surgery for endocarditis?

Surgery for endocarditis is often suggested: If the endocarditis is caused by a fungus, because fungal infections are harder to treat than bacterial infections.

How long does it take for endocarditis to clear?

They'll clear all the germs from your heart and heart valves. You'll get antibiotics for two to six weeks through an intravenous (IV) tube inserted into a vein.

Can antibiotics cause endocarditis?

Starting antibiotic treatment early can reduce the risk of complications from endocarditis. Even with antibiotics, endocarditis can cause damage to the heart or heart valves. Surgery may be required to repair the damage. Your doctors may also recommend surgery to clear up the infection or to replace heart valves that were badly damaged by ...

Can endocarditis be treated with antibiotics?

Endocarditis can be life threatening, but most people recover with prompt treatment. Infective endocarditis is generally treated with antibiotics, but some people with endocarditis may also need heart surgery. You'll likely have a team of doctors monitoring you're progress, including: A cardiologist (heart doctor) A heart surgeon.

What are the symptoms of endocarditis?

A new or changed heart murmur, which is the heart sound made by blood rushing through your heart. Less common signs and symptoms of endocarditis can include: Unexplained weight loss.

How do you know if you have endocarditis?

Endocarditis may develop slowly or suddenly, depending on what germs are causing the infection and whether you have any underlying heart problems. Signs and symptoms of endocarditis can vary from person to person. Common signs and symptoms of endocarditis include: Aching joints and muscles. Chest pain when you breathe.

What are the clumps of cells in the heart called?

Complications. In endocarditis, clumps made of germs and cell pieces form an abnormal mass in your heart. These clumps, called vegetations, can break loose and travel to your brain, lungs, abdominal organs, kidneys, or arms and legs. As a result, endocarditis can cause several complications, including:

Can fungus damage your heart valves?

If it's not treated quickly, endocarditis can damage or destroy your heart valves. Treatments for endocarditis include medications and, sometimes, surgery.

Can a heart valve be damaged by a germ?

Germs are more likely to attach to an artificial (prosthetic) heart valve than to a normal heart valve. Damaged heart valves. Certain medical conditions, such as rheumatic fever or infection, can damage or scar one or more of your heart valves, increasing the risk of infection. Congenital heart defects.

Can you get an infection from a heart implant?

If you were born with certain types of heart defects, such as an irregular heart or abnormal heart valves, your heart may be more susceptible to infection. Implanted heart device. Bacteria can attach to an implanted device, such as a pacemaker, causing an infection of the heart's lining. A history of endocarditis.

Can endocarditis cause joint pain?

Although less serious conditions can cause similar signs and symptoms, you won't know for sure until you're evaluated by your doctor. If you've been diagnosed with endocarditis, tell your doctor about any signs or symptoms that may mean your infection is getting worse, such as: Chills. Fever. Headaches. Joint pain.

How long does endocarditis last?

How Is Endocarditis Treated? In most cases, your doctor will prescribe antibiotics. Usually, you will stay in the hospital for about a week to receive them through an IV. You may need IV antibiotics for between 2 and 6 weeks, but some of that might be from home.

What happens if you don't treat endocarditis?

If the infection isn’t treated with antibiotics or surgery, it can do permanent damage and can even be deadly.

How to tell if you have endocarditis?

If you notice symptoms of endocarditis or your doctor thinks you might have it, they may suggest some tests. They’ll also likely listen to your heart with a stethoscope to see if you have a new or changed heart murmur. If they need more information before making a diagnosis, they may order one or more of the following tests: 1 Blood tests. These will look for bacteria in your bloodstream or show other things related to endocarditis, such as anemia, which means you don’t have enough red blood cells. 2 An echocardiogram or an electrocardiogram. These are tests that show how your heart is working. An echocardiogram uses an ultrasound device to produce images of your heart. An electrocardiogram uses sensors to measure the timing and length of your heartbeat. 3 An X-ray. This will show if endocarditis has affected your heart or lungs. 4 A CT scan or MRI. These tests use pictures to show your doctor if the infection has spread to another area of your body like your brain or chest.

What is the best way to check if your heart is working?

These are tests that show how your heart is working. An echocardiogram uses an ultrasound device to produce images of your heart. An electrocardiogram uses sensors to measure the timing and length of your heartbeat. An X-ray. This will show if endocarditis has affected your heart or lungs. A CT scan or MRI.

What is the name of the lining of the heart?

The inner lining of your heart and surface of its valves is called the endocardium. If germs or bacteria from other parts of your body, such as your mouth, spread through your blood and attach to this lining, ...

What test shows if you have endocarditis?

An X-ray. This will show if endocarditis has affected your heart or lungs. A CT scan or MRI. These tests use pictures to show your doctor if the infection has spread to another area of your body like your brain or chest.

What tests are done to determine if you have endocarditis?

If they need more information before making a diagnosis, they may order one or more of the following tests: Blood tests . These will look for bacteria in your bloodstream or show other things related to endocarditis, such as anemia, which means you don’t have enough red blood cells.

What causes endocarditis?

Causes of Endocarditis. The bacteria that live in your mouth, throat or other parts of your body, such as your skin or your gut, can sometimes cause serious infections like endocarditis. However, other conditions, traits or habits may also raise your risk for the disease.

How do you know if you have endocarditis?

Endocarditis may develop slowly or rapidly depending on what germs are causing the infection, your immunity, and whether you have any underlying heart problems. Endocarditis signs and symptoms can vary from person to person. Common symptoms include: Fatigue. Flu-like symptoms. Blood in your urine. Chest pain.

What is the name of the disease that causes a bacterial infection in the heart?

Infectious (bacterial) endocarditis: This type of endocarditis is characterized by an infection caused by bacteria or fungi that enter the bloodstream and settle in the heart lining, a heart valve or a blood vessel.

What is the name of the infection that spreads through the heart?

Endocarditis. The endocardium is the inner lining of the heart. Endocarditis is an infection of this inner lining. Endocarditis generally occurs when bacteria, fungi or other germs from the environment or another part of your body, such as your mouth, spread through your bloodstream and attach to heart valves.

What is the name of the disease that affects the left side of the heart?

Non-infectious (non-bacterial) endocarditis: This type of endocarditis is characterized by various kinds of illnesses affecting the heart valves, most often the left side of the heart. The disease may be the first step in development of infectious endocarditis.

How to treat a swollen ear?

Avoid smoking. Decrease your alcohol or caffeinated beverage consumption. Eat a heart-healthy diet. Exercise under the directions of your doctor. Fluid restriction. Make and keep appointments to see your doctor for routine check-ups and follow-up tests.

Can a doctor diagnose endocarditis?

Your doctor may suspect endocarditis based on your medical history, signs and symptoms you're experiencing, and your test results. A diagnosis of endocarditis is usually based on several factors instead of a single positive test result or symptom. Your doctor may also order the following:

What is the diagnosis of infectious endocarditis?

Infectious endocarditis: diagnosis and treatment. Infectious endocarditis results from bacterial or fungal infection of the endocardial surface of the heart and is associated with significant morbidity and mortality. Risk factors include the presence of a prosthetic heart valve, structural or congenital heart disease, intravenous drug use, ...

What are the risk factors for endocarditis?

Risk factors include the presence of a prosthetic heart valve, structural or congenital heart disease, intravenous drug use, and a recent history of invasive procedures. Endocarditis should be suspected in patients with unexplained fevers, night sweats, or signs of systemic illness.

Is valvular structural integrity affected by infectious endocarditis?

Valvular structural and functional integrity may be adversely affected in infectious endocarditis, and surgical consultation is warranted in patients with aggressive or persistent infections, emboli, and valvular compromise or rupture.

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Overview

Symptoms

Causes

Risk Factors

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves medication and if necessary, surgery.
Medication

Antibiotics: Reduce the infection. Recommended if endocarditis is caused by bacteria.

Penicillin

Procedures

Open heart surgery: To remove damaged heart valves and replace them with artificial valves.

Nutrition

Foods to eat:

  • Vitamin B and iron rich foods such as whole grain, dark leafy greens
  • Antioxidant rich foods such as fruits and vegetables

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Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.

Complications

  • Your doctor will consider your medical history, your signs and symptoms, and your test results when making a diagnosis of endocarditis. The diagnosis is usually based on several factors instead of a single positive test result or symptom. Tests used to confirm or rule out endocarditi…
See more on mayoclinic.org

Prevention

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