Lode H, Schaberg T, Höffken G, Schröder R
Abteilung für Pneumologie, Infektiologie und Immunologie, Städtisches Krankenhaus Zehlendorf, Berlin.
Immun Infekt. 1991 Apr;19(2):42-4.
Considering the incidence of infectious endocarditis this disease is still an important clinical entity in internal medicine departments. Leading symptoms are fever, cardiac murmurs, embolic phenomena, skin alterations and also sometimes CNS-disturbances. Two different clinical endocarditis entities can be separated: an acute aggressive course of endocarditis and the subacute course (endocarditis lenta). Diagnostic procedures are mainly based on positive blood cultures and echocardiographic detection of cardiac vegetations. In case of a progressive development of cardiac insufficiency, non treatable infection, large vegetations on valve and embolic phenomena a prosthetic valve implantation is indicated.
考虑到感染性心内膜炎的发病率，这种疾病在内科仍是一个重要的临床实体。主要症状为发热、心脏杂音、栓塞现象、皮肤改变，有时还伴有中枢神经系统紊乱。可区分出两种不同的临床心内膜炎实体：急性侵袭性心内膜炎病程和亚急性病程（缓慢性心内膜炎）。诊断程序主要基于血培养阳性以及超声心动图检测到心脏赘生物。如果出现进行性心力衰竭、无法治疗的感染、瓣膜上有大的赘生物以及栓塞现象，则表明需要进行人工瓣膜植入。
