Talib Usama, Akash Muhammad, Reddy Sushritha, Ayub Sania, Dawoud Hadeel, Abdelfattah Ahmed H
Internal Medicine, University of Kentucky College of Medicine, Lexington, USA.
Internal Medicine Resident, MGB-Salem Hospital, Salem, USA.
Cureus. 2022 Dec 16;14(12):e32591. doi: 10.7759/cureus.32591. eCollection 2022 Dec.
The increase in the use of IV drugs has been accompanied by an increase in the incidence of infective endocarditis (IE). The clinical picture, vitals, examination, blood cultures, laboratory tests, and imaging can help diagnose IE. The Duke criteria also play a role in the diagnosis of IE. Prolonged antibiotic use and even interventions may be needed in the management of specific cases. Rare complications such as mycotic aneurysms and intracranial hemorrhages can be fatal and must be promptly addressed to prevent loss of life and serve debilitation in these patients.
静脉注射药物使用的增加伴随着感染性心内膜炎（IE）发病率的上升。临床表现、生命体征、检查、血培养、实验室检查和影像学检查有助于诊断IE。杜克标准在IE的诊断中也发挥着作用。在特定病例的管理中可能需要长期使用抗生素，甚至进行干预。真菌性动脉瘤和颅内出血等罕见并发症可能是致命的，必须迅速处理，以防止这些患者死亡和身体衰弱。
