Infective Endocarditis- Etiology

  1. Causative Organisms
  2. Predisposing Procedures
  3. Predisposing Conditions

Let’s read about causative organisms that cause endocarditis

  1. Less Virulent: Streptococcus
    • virdans
    • mitis
    • bovis
  2. Highly Virulent
    • Staphylococcus aureus
    • Gonorrhoea
    • Pseudomonas
    • Streptococcus pneumonia
  3. Coagulase-negative staphylococci
  4. Gram-Negative HACEK
    • Haemophilus
    • Actinobacillus
    • Cardiobacterium
    • Eikenalla
    • Kingella
  5. Bartonella (responsible for the high number of culture-negative endocarditis cases)
  6. Fungus, moulds, yeasts- cause endocarditis in immunosuppressive patients.

Let’s read about predisposing procedures!

  • Respiratory infection
  • Obstetric delivery
  • Dental procedures (including routine tooth cleaning)
  • Genitourinary procedures
  • Skin infections
  • Prosthetic Valve Recipient
  • Cardiac Surgery
  • Biliary duct surgery
  • Cystic surgery in females

Let’s talk about predisposing conditions

  • High-Risk Group
    • Prosthetic valves
    • Surgically constructed AV shunts
    • Complex valve surgery
  • Moderate Risk Group
    • Mitral valve collapse
    • Mitral regurgitation
    • Hypertrophic myocardiopathy
  • Low-Risk Group
    • Coronary atrial bypass
    • Intracardial placement

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