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1. The patient presented with fever of 38°C and Gram-positive cocci were found in chains in their blood cultures, identifying Streptococcus bovis as the cause of infective endocarditis. 2. Echo showed vegetation on both mitral leaflets with mild mitral regurgitation and stenosis. Eye exam found Roth spots. 3. The patient is being treated with penicillin and gentamicin for subacute bacterial endocarditis.
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Publication date: Mar 5, 2020
Publication description: Utah ACP Chapter
Presentation of an individual with a pathologic lumbar fracture who developed PRES in the setting of hypercalcemia, a known rare risk factor for PRES. Symptoms resolved with the correction of hypercalcemia. Multiple myeloma was ultimately diagnosed. Understanding the risk factors for PRES allows for appropriate treatment and resolution in symptoms.
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Brugada syndrome is the most common cause of sudden death in men < 40 years of age in south asia with no pre existing cardiac abnormalities, this presentation will help you understand brugada syndrome ...
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- The median age of IE patients has increased to over 60 years old. Rheumatic heart disease is less common while intracardiac devices and nosocomial sources have risen.
- Vegetations form from platelet-fibrin deposition on damaged heart valves, allowing bacterial colonization and abscess formation.
- Echocardiography is important for diagnosis. Findings include vegetations, abscesses, and valve dysfunction. Blood cultures help identify causative organisms.
- Complications include heart failure, embolization, and periannular
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gadolinium contrast revealed normal-sized cardiac chambers and normal biventricular
function without delayed enhancement. The presenting electrocardiogram (ECG)
is shown in Figure 1.
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1) Interferon-ß treatment eliminated cardiotropic viral genomes in 22 out of 22 patients with myocardial virus persistence and left ventricular dysfunction.
2) The treatment was associated with a significant decrease in left ventricular diameters and a significant increase in left ventricular ejection fraction, improving left ventricular function.
3) No patients deteriorated during treatment, and left ventricular function normalized in 9 patients and improved in an additional 5 patients.
Cardiocase
This case report describes a 19-year-old male who presented with chest pain and was found to have ST elevations on EKG suggestive of a heart attack. He received thrombolytics which normalized his EKG. Further testing showed normal coronary arteries and features of myocarditis on cardiac MRI. This is a unique case because the patient's EKG normalized immediately after thrombolytics, unlike typical cases of myocarditis, yet he was ultimately diagnosed with myocarditis rather than a heart attack. The report discusses the challenges in distinguishing myocarditis from heart attack given similarities in presentation and discusses the rare occurrence of EKG normalization after thrombolytics in myocarditis cases.
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A New Electrocardiographic Marker of Sudden Death in Brugada Syndrome The S-W...
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When Back Pain Leads to Posterior Leukoencephalopathy Syndrome
International Journal of Case Reports & Short Reviews
International Journal of Case Reports & Short Reviews
A patient with chest pain & ekg changes bmj 2013 347_6839_20-11-2013
A patient with chest pain & ekg changes bmj 2013 347_6839_20-11-2013
Interferon-ß Treatment Eliminates Cardiotropic Viruses and Improves Left Vent...
Interferon-ß Treatment Eliminates Cardiotropic Viruses and Improves Left Vent...
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This document summarizes a seminar on myocarditis. It discusses the pathogenesis, clinical presentation, diagnosis and treatment of different types of myocarditis. Key points include:
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This document discusses the evaluation and diagnosis of acute chest pain in the intensive care unit setting. It describes that chest pain requires immediate evaluation to diagnose potentially life-threatening causes like acute myocardial infarction. While AMI is a major concern, there are many cardiac and non-cardiac causes of chest pain that require testing and diagnostic evaluation. Common causes discussed in detail include pericarditis, pulmonary embolism, musculoskeletal pain, and acute myocarditis.
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A 71-year-old male with a history of coronary artery disease and autoimmune hepatitis was admitted with fever. Blood cultures grew Streptococcus salivarius. S. salivarius bacteremia can represent a serious underlying illness. The patient's treatment plan includes 2 weeks of intravenous ceftriaxone and gentamicin, followed by surveillance blood cultures and endocarditis prophylaxis for dental procedures.
INFECTIVE ENDOCARDITIS.pptx
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