Infective endocarditis of a rare etiology: Serratia marcescens
Infective endocarditis (IE) is a unique diagnostic and therapeutic challenge. It is a severe disease, fatal before penicillin discovery. Atypical presentations frequently led to delayed diagnosis and poor outcome. There was little information about the natural history of the vegetations during medic...
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| Format: | Article |
| Language: | English |
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Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade
2004-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | http://www.doiserbia.nb.rs/img/doi/0042-8450/2004/0042-84500406689D.pdf |
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| author | Đokić Milomir Milanović Milomir Begović Vesna Ristić-Anđelkov Anđelka Tomanović Branka |
| author_facet | Đokić Milomir Milanović Milomir Begović Vesna Ristić-Anđelkov Anđelka Tomanović Branka |
| author_sort | Đokić Milomir |
| collection | DOAJ |
| description | Infective endocarditis (IE) is a unique diagnostic and therapeutic challenge. It is a severe disease, fatal before penicillin discovery. Atypical presentations frequently led to delayed diagnosis and poor outcome. There was little information about the natural history of the vegetations during medical treatment or the relation of morphologic changes in vegetation to late complications. Application of a new diagnostic criteria and echocardiography, increased the number of definite diagnosis. Trans-thoracic and trans-esophageal echocardiography had an established role in the management of patients with IE. The evolution of vegetation size, its mobility, and consistency, the extent of the disease, and the severity of valvular regurgutation were related to late complications. With therapeutic options including modern antibiotic treatment and early surgical intervention IE turned out to be a curable disease. Reduction in mortality also depended on prevention. Antibiotic prophylaxis of IE was important, but low mortality was also the result of early treatment, especially in the event of early recognition of symptoms and signs of the disease. |
| format | Article |
| id | doaj-art-109d40cda42f48bba77c39a58ccbffe8 |
| institution | OA Journals |
| issn | 0042-8450 |
| language | English |
| publishDate | 2004-01-01 |
| publisher | Ministry of Defence of the Republic of Serbia, University of Defence, Belgrade |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj-art-109d40cda42f48bba77c39a58ccbffe82025-08-20T02:02:20ZengMinistry of Defence of the Republic of Serbia, University of Defence, BelgradeVojnosanitetski Pregled0042-84502004-01-0161668969410.2298/VSP0406689DInfective endocarditis of a rare etiology: Serratia marcescensĐokić MilomirMilanović MilomirBegović VesnaRistić-Anđelkov AnđelkaTomanović BrankaInfective endocarditis (IE) is a unique diagnostic and therapeutic challenge. It is a severe disease, fatal before penicillin discovery. Atypical presentations frequently led to delayed diagnosis and poor outcome. There was little information about the natural history of the vegetations during medical treatment or the relation of morphologic changes in vegetation to late complications. Application of a new diagnostic criteria and echocardiography, increased the number of definite diagnosis. Trans-thoracic and trans-esophageal echocardiography had an established role in the management of patients with IE. The evolution of vegetation size, its mobility, and consistency, the extent of the disease, and the severity of valvular regurgutation were related to late complications. With therapeutic options including modern antibiotic treatment and early surgical intervention IE turned out to be a curable disease. Reduction in mortality also depended on prevention. Antibiotic prophylaxis of IE was important, but low mortality was also the result of early treatment, especially in the event of early recognition of symptoms and signs of the disease.http://www.doiserbia.nb.rs/img/doi/0042-8450/2004/0042-84500406689D.pdfendocarditisbacterialheart valve diseasesmitral valveserratia marcescensanti-bacterial agentsprognosistreatment outcome |
| spellingShingle | Đokić Milomir Milanović Milomir Begović Vesna Ristić-Anđelkov Anđelka Tomanović Branka Infective endocarditis of a rare etiology: Serratia marcescens Vojnosanitetski Pregled endocarditis bacterial heart valve diseases mitral valve serratia marcescens anti-bacterial agents prognosis treatment outcome |
| title | Infective endocarditis of a rare etiology: Serratia marcescens |
| title_full | Infective endocarditis of a rare etiology: Serratia marcescens |
| title_fullStr | Infective endocarditis of a rare etiology: Serratia marcescens |
| title_full_unstemmed | Infective endocarditis of a rare etiology: Serratia marcescens |
| title_short | Infective endocarditis of a rare etiology: Serratia marcescens |
| title_sort | infective endocarditis of a rare etiology serratia marcescens |
| topic | endocarditis bacterial heart valve diseases mitral valve serratia marcescens anti-bacterial agents prognosis treatment outcome |
| url | http://www.doiserbia.nb.rs/img/doi/0042-8450/2004/0042-84500406689D.pdf |
| work_keys_str_mv | AT đokicmilomir infectiveendocarditisofarareetiologyserratiamarcescens AT milanovicmilomir infectiveendocarditisofarareetiologyserratiamarcescens AT begovicvesna infectiveendocarditisofarareetiologyserratiamarcescens AT risticanđelkovanđelka infectiveendocarditisofarareetiologyserratiamarcescens AT tomanovicbranka infectiveendocarditisofarareetiologyserratiamarcescens |