Henriquez Elvis, Fatima Neha, Sayabugari Rithika, Nasim Muhammad Hamza, Noorayingarath Hafseena, Bai Karoona, Garcia Alberto, Habib Ayesha, Patel Tirth P, Shaikh Fouziya, Razzaq Waleed, Abdin Zain U, Gupta Ishita
Internal Medicine, University of Medical Sciences, Las Tunas, CUB.
Internal Medicine, Lisie Hospital, Kochi, IND.
Cureus. 2023 Jun 5;15(6):e39996. doi: 10.7759/cureus.39996. eCollection 2023 Jun.
Infective endocarditis is an infection of the inner layers of the heart, seen often in intravenous drug users and patients with valvular lesions or prosthetic heart valves. This entity has high mortality and morbidity. The most common causative microorganism is . In this comprehensive literature review, we focused on both infections, i.e., methicillin-sensitive (MSSA) and methicillin-resistant (MRSA) endocarditis, demographics, use of transthoracic echocardiogram and/or transesophageal echocardiogram for diagnostics, and treatments. Although clinical criteria are relevant, transesophageal echocardiogram plays a vital role in establishing and identifying the presence of infective endocarditis and its local complications, with higher sensitivity in patients with prosthetic valves. The antibiotic selection posed a great challenge for clinicians due to antibiotic resistance and the aggressive nature of . Early diagnosis of infective endocarditis, when suspected, and effective management by a multispecialty team can improve the outcome for the patients.
感染性心内膜炎是心脏内层的感染，常见于静脉吸毒者以及患有瓣膜病变或人工心脏瓣膜的患者。这种疾病具有较高的死亡率和发病率。最常见的致病微生物是……在这篇全面的文献综述中，我们关注了两种……感染，即甲氧西林敏感……（MSSA）和耐甲氧西林……（MRSA）心内膜炎、人口统计学、经胸超声心动图和/或经食管超声心动图在诊断中的应用以及治疗方法。尽管临床标准很重要，但经食管超声心动图在确诊和识别感染性心内膜炎及其局部并发症方面起着至关重要的作用，在人工瓣膜患者中具有更高的敏感性。由于抗生素耐药性以及……的侵袭性，抗生素的选择给临床医生带来了巨大挑战。当怀疑感染性心内膜炎时，早期诊断以及由多专业团队进行有效管理可以改善患者的预后。
