Department of Emergency Medicine, San Antonio Uniformed Services Health Education Consortium, 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234, United States.
Department of Emergency Medicine, Madigan Army Medical Center, 9040 Jackson Ave., Tacoma, WA 98341, United States.
Am J Emerg Med. 2022 Oct;60:227.e5-227.e7. doi: 10.1016/j.ajem.2022.07.022. Epub 2022 Jul 16.
Infective Endocarditis (IE) is an uncommon illness in the emergency department (ED) with significant associated morbidity. Patients with IE typically possess risk factors predisposing them to bacterial invasion. These risk factors include intravenous drug use, valvulopathies, valve replacement, poor oral hygiene, immunocompromised state, and recent invasive procedures. A rarer condition is tattoo-associated IE. Diagnosis of IE includes multiple blood cultures and echocardiography. Therapeutic interventions include prolonged intravenous antibiotics and potential surgery. Complications from IE can be severe, including organ injury from septic emboli, heart failure, valvular insufficiency, bacteremia, and fulminant septic shock. Prompt identification and treatment are necessary to reduce patient morbidity and mortality.
感染性心内膜炎（IE）在急诊科较为少见，但与之相关的发病率很高。患有 IE 的患者通常存在使他们易受细菌侵袭的危险因素。这些危险因素包括静脉内药物滥用、瓣膜病、瓣膜置换、口腔卫生差、免疫功能低下状态和最近的侵袭性操作。一种罕见的情况是与纹身相关的 IE。IE 的诊断包括多次血培养和超声心动图检查。治疗干预措施包括延长静脉内使用抗生素和可能的手术。IE 的并发症可能很严重，包括来自脓毒性栓子的器官损伤、心力衰竭、瓣膜功能不全、菌血症和暴发性败血性休克。及时识别和治疗对于降低患者的发病率和死亡率是必要的。
