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Diagnosis and treatment of infective endocarditis Rentaro ODA 1 1Division of Infectious Diseases Tokyo Bay Urayasu Ichikawa Medical Center pp.63-74
Published Date 2019/1/1
DOI https://doi.org/10.11477/mf.3102200599
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The management of infective endocarditis (IE) is challenging. Unfortunately, clinical symptoms and findings of IE are often non-specific, making it difficult to diagnose some cases. A delay in the diagnosis and treatment of IE may result in complications. Thus, clinicians should be aware of important clinical features and diagnostic tests. When administering treatment for IE, some patients may require heart surgery, and severe complications could result, requiring management in the intensive care unit. Therefore, in addition to antibacterial treatment strategies for each microorganism, physicians should be aware of treatment strategies for surgical indications and timing, and the importance of working together with cardiologists and cardiac surgeons, infectious disease specialists, neurologists, and neurosurgeons. In 2015, the American Heart Association (AHA) revised its guidelines for IE. Here, we describe how to diagnose and treat IE based on the AHA guidelines while referring to clinical questions.


Copyright © 2019, MEDICAL SCIENCES INTERNATIONAL, LTD. All rights reserved.

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電子版ISSN 2186-7852 印刷版ISSN 1883-4833 メディカル・サイエンス・インターナショナル

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