| 单词 | endocarditis |
| 例句 | She was 73 and the cause of death was complications from endocarditis. Robb Forman Dew, prize-winning novelist, dead at 73 2020-05-27T04:00:00Z In the infection category bacterial endocarditis, streptococcal septicemia, tuberculosis and parasitic infestation have all been proposed. After Mozart?s Death, an Endless Coda 2010-08-24T17:50:00Z Serious, but rare, symptoms include arterial infections, endocarditis, arthritis, muscle pain, eye irritation, and urinary tract symptoms. From sugar cookies to smoked clams, here are the 17 food recalls you should know about right now 2022-07-26T04:00:00Z Life-threatening illnesses that can result from listeria include meningitis — inflammation around the brain and spinal cord that can occur when these microbes infect the brain — or endocarditis, infection of the heart's inner lining. What is listeria? A microbiologist explains 2022-09-08T04:00:00Z They said it could have led to endocarditis, or inflammation inside the heart, and to his death, aged 71, in Switzerland. Heart infection could be cause of death of Polish, US hero 2022-10-06T04:00:00Z On one hand, smoking is less likely than injecting to spread diseases like HIV and cause injuries like abscesses and endocarditis, Banta-Green said. Tacoma’s pioneering needle exchange now using smoking supplies to reach fentanyl, meth users 2022-04-19T04:00:00Z But with an even more lethal overdose crisis — and that’s not counting all the addiction-related deaths from hepatitis, endocarditis and suicide — the nation’s leadership appears capable of only minor tweaks. Opinion | More than 1 million have died in the overdose crisis, but still the response is scandalously inadequate 2022-01-24T05:00:00Z According to the Mayo Clinic, endocarditis, cardiovascular disease, pneumonia, and pregnancy and birth complications can be linked to oral health. We've skipped lots of dental care during COVID. Now hygienists are having a wild time 2021-06-29T04:00:00Z But her fiancé started spiking high fevers last December and was admitted to a hospital intensive care unit, critically ill with endocarditis, a heart valve infection that can result from injecting drugs. Helping Drug Users Survive, Not Abstain: ‘Harm Reduction’ Gains Federal Support 2021-06-27T04:00:00Z Kayla Carter was hospitalized last summer with endocarditis, a heart infection from using dirty needles. A city wrestled down an addiction crisis. Then came COVID-19 2021-04-07T04:00:00Z Carter was hospitalized last summer with endocarditis, a heart infection from using dirty needles. A city wrestled down an addiction crisis. Then came COVID-19 2021-04-08T04:00:00Z The cause was complications from endocarditis, an inflammation of the heart’s inner lining, said her son Steve Dew. Robb Forman Dew, novelist who charted daily life’s shifting emotions, dies at 73 2020-05-27T04:00:00Z The allegations stemmed from a series of inspections conducted after an outbreak of bacterial endocarditis among Vecchione’s patients. Dentist agrees to suspension after 15 patients sickened 2020-02-04T05:00:00Z “Her husband had been undergoing treatment for infective endocarditis at home with parenteral nafcillin,” according to the case report. Woman suffers near fatal reaction after sex with husband 2019-11-07T05:00:00Z This pattern is seen throughout the United States, yet the US Centers for Disease Control and Prevention has not made endocarditis a reportable illness, so does not track its incidence. Tackle the epidemic, not the opioids 2019-09-08T04:00:00Z About 10 years ago, she had endocarditis, an inflammation of the heart’s inner lining, which is usually caused by bacteria. Bo Derek talks becoming a sex symbol after ’10’ fame, walking the runway and whether she’ll marry John Corbett 2019-02-08T05:00:00Z SEPs may also play a role in stemming the tide of bacterial infections, given skyrocketing rates of injection-related infectious endocarditis in North Carolina and Virginia. Appalachia's Fight to Lessen the Impact of Substance Abuse 2019-02-04T05:00:00Z Research has consistently found that such programs, which allow people who inject drugs to trade dirty needles for clean ones, prevent deaths related to infections like HIV, hepatitis C and endocarditis. Why drug deaths are down in troubled Ohio 2018-11-30T05:00:00Z Research has consistently found that such programs, which allow people who inject drugs to trade dirty needles for clean ones, prevent deaths related to infections like H.I.V., hepatitis C, and endocarditis. This City’s Overdose Deaths Have Plunged. Can Others Learn From It? 2018-11-25T05:00:00Z “If bacteria get under the gums and into the bloodstream, they can impact different organs that can cause conditions like bacterial endocarditis, kidney disease, gastrointestinal disease, diabetes, a lot of things,” he says. Is There a Cure for My Dog’s Bad Breath? 2018-10-10T04:00:00Z His greatest commercial success was Madonna, whom he signed from his hospital bed in 1982, while being treated for the heart condition subacute endocarditis. Seymour Stein, the man who signed Madonna: 'My ears got me through' 2018-08-01T04:00:00Z Boston hospitals found that only 7 percent of the endocarditis patients who continued to do drugs lasted a decade without a return infection. How many times must we save people who overdose? 2018-07-13T04:00:00Z In 2005, he had developed endocarditis, an infection that can stem from rheumatic fever, and underwent a heart valve replacement. After his latest brush with death, the man behind the Vietnam Wall is back to tending it 2018-05-01T04:00:00Z Dr. Pollard has been lobbying hospital systems in Knoxville to provide addiction treatment for willing endocarditis patients, at least on a trial basis, after their surgery. Injecting Drugs Can Ruin a Heart. How Many Second Chances Should a User Get? 2018-04-29T04:00:00Z By spring, Pollard said, he was close to persuading Covenant Health to pay for five initial endocarditis patients to get addiction treatment after their hospital stays — if its competitors did the same. Second chances? Faced with ruined hearts, doctors face tough ethical questions as drug crisis soars 2018-04-29T04:00:00Z He said his office has seen more endocarditis in the last two years than the previous 15 combined. Recent editorials published in Iowa newspapers 2017-10-23T04:00:00Z Many addicts also suffer from diabetes and other chronic conditions, or get endocarditis, a serious heart infection connected to intravenous drug use. $45 Billion to Fight Opioid Abuse? That’s Much Too Little, Experts Say 2017-06-30T04:00:00Z Drug abuse is one of the leading causes of endocarditis, which inflames the lining of the heart. Huntington nurse educates kids about stroke risk 2017-06-03T04:00:00Z Their practice, owned by Covenant Health, will almost always operate on someone with a first-time case of endocarditis from injecting drugs, Dr. Pollard said. Injecting Drugs Can Ruin a Heart. How Many Second Chances Should a User Get? 2018-04-29T04:00:00Z Their practice, owned by Covenant Health, will almost always operate on someone with a first-time case of endocarditis from injecting drugs, Pollard said. Second chances? Faced with ruined hearts, doctors face tough ethical questions as drug crisis soars 2018-04-29T04:00:00Z Patient Lee Shuler, a recovering pain pill addict who also got his wife hooked, nearly died from endocarditis, then lost her to an overdose, leaving their two children, 10 and 7 at the time, motherless. Drug increases in Austin as families struggle to survive 2017-04-21T04:00:00Z In 2013, 12 percent of hospitalizations for infective endocarditis were related to injection drug use, compared to 7 percent in 2000, the study team found. Opioid Abuse Fueling Drug-Related Heart Infections: Study 2016-09-01T04:00:00Z Intravenous drug use puts patients at risk for hepatitis, endocarditis or even brain abscesses. A doctor’s take on pot: Marijuana shouldn’t be grouped into the same category as more dangerous drugs 2016-08-28T04:00:00Z When he became president of the Knoxville Academy of Medicine in 2015, he came up with the idea of the city’s hospital systems teaming up to offer addiction treatment to endocarditis patients. Injecting Drugs Can Ruin a Heart. How Many Second Chances Should a User Get? 2018-04-29T04:00:00Z The group discussed Pollard’s proposal for Cornerstone of Recovery, an addiction- treatment center here, to admit a handful of endocarditis patients as soon as they were cleared for discharge. Second chances? Faced with ruined hearts, doctors face tough ethical questions as drug crisis soars 2018-04-29T04:00:00Z Doctors diagnosed endocarditis and blood clots in his heart, both lungs and an arm. Drug increases in Austin as families struggle to survive 2017-04-21T04:00:00Z For the study, the researchers reviewed U.S. hospital admissions for infective endocarditis, a sometimes deadly infection of the heart valves. Opioid Abuse Fueling Drug-Related Heart Infections: Study 2016-09-01T04:00:00Z But under state regulations, single cases of endocarditis and enterococcal infections don’t have to be reported to public health authorities, according to the health department report. Report: 15 of Morris dentist's patients sickened, 1 died 2016-08-16T04:00:00Z Dr. Justice arrived with good news: There was no evidence of endocarditis in her blood, and her repaired mitral valve looked good. Injecting Drugs Can Ruin a Heart. How Many Second Chances Should a User Get? 2018-04-29T04:00:00Z Pollard has been lobbying hospital systems in Knoxville to provide addiction treatment for willing endocarditis patients, at least on a trial basis, after their surgery. Second chances? Faced with ruined hearts, doctors face tough ethical questions as drug crisis soars 2018-04-29T04:00:00Z But under state regulations, single cases of endocarditis and enterococcal infections don't have to be reported to public health authorities, according to the health department report. Report: 15 of Morris dentist's patients sickened, 1 died 2016-08-16T04:00:00Z As a result, while providers addressed the consequences of addiction — endocarditis, liver failure, seizures, overdose — they rarely treated the disease itself. Doctors should pause before dismissing the ‘12 steps’ approach to addiction 2016-03-18T04:00:00Z Infective endocarditis is a rare infection of the tissue that lines the chambers of the heart. Concern over rising heart infection 2014-11-18T05:00:00Z The group discussed Dr. Pollard’s proposal for Cornerstone of Recovery, an addiction treatment center here, to admit a handful of endocarditis patients as soon as they were cleared for discharge. Injecting Drugs Can Ruin a Heart. How Many Second Chances Should a User Get? 2018-04-29T04:00:00Z As cases have multiplied around the country, doctors who used to only occasionally encounter endocarditis in patients who injected drugs are hungry for guidance. Second chances? Faced with ruined hearts, doctors face tough ethical questions as drug crisis soars 2018-04-29T04:00:00Z The medical examiner’s office in Leesburg listed the cause of death as pulmonary embolus and infective endocarditis. Hernando County Jail inmate dies of embolism 2014-08-22T04:00:00Z They are at particular risk for developing a serious infection during surgery, including endocarditis, a potentially life-threatening infection of the heart. Tooth Extraction Prior to Cardiac Surgery May Not Be a Good Idea 2014-02-27T22:14:00Z Doctors diagnosed endocarditis, a bacterial infection of the heart tissue, which can be fatal. After Losing His Mother and His Health, a Man Takes Shaky Steps to Recovery 2013-12-18T01:05:42Z By spring, Dr. Pollard said, he was close to persuading Covenant Health to pay for five initial endocarditis patients to get addiction treatment after their hospital stays — if its competitors did the same. Injecting Drugs Can Ruin a Heart. How Many Second Chances Should a User Get? 2018-04-29T04:00:00Z Justice arrived with good news: There was no evidence of endocarditis in her blood, and her repaired mitral valve looked good. Second chances? Faced with ruined hearts, doctors face tough ethical questions as drug crisis soars 2018-04-29T04:00:00Z The cause was endocarditis, a heart valve infection, said her husband, Errol. Jean Bethke Elshtain, a Guiding Light for Policy Makers After 9/11, Dies at 72 2013-08-16T01:48:54Z Valvular Disease.—Inflammation of the valves of the heart, or endocarditis, is one of the most common complications of rheumatism in children and young adults. Encyclopaedia Britannica, 11th Edition, Volume 13, Slice 2 "Hearing" to "Helmond" 2012-04-25T02:00:53.567Z This murmur is sometimes soft in the beginning, but becomes harsh and intense later, or may have these characters from the start to such a degree as to give the impression that endocarditis exists. A System of Practical Medicine by American Authors, Vol. I Volume 1: Pathology and General Diseases 2012-03-17T02:00:54.097Z The heart may be affected and endocarditis ensue; there may be meningitis or inflammation of the cerebral membranes; the eye may be infected, and unless it is skilfully treated blindness will follow. Essays In Pastoral Medicine 2012-03-05T03:00:09.993Z The cause was endocarditis, an inflammation of the membrane lining the heart, his wife, Jacqueline, said. Roger J. Miner, Judge Who Valued Neutrality, Dies at 77 2012-02-21T04:41:50Z They include endocarditis, or an infection of the heart valves, as well as such infections as cytomegalovirus, Epstein-Barr virus and toxoplasma, a parasite. Consumer Reports Insights: Unexplained fevers can be signs of serious illness 2012-01-30T21:07:34Z As a result of endocarditis, one or more of the valves may be seriously damaged, so that it leaks or becomes incompetent. Encyclopaedia Britannica, 11th Edition, Volume 13, Slice 2 "Hearing" to "Helmond" 2012-04-25T02:00:53.567Z Aside from this, there is actual endocarditis during the course of diphtheria or convalescence therefrom. A System of Practical Medicine by American Authors, Vol. I Volume 1: Pathology and General Diseases 2012-03-17T02:00:54.097Z This is in marked contrast to the cases of diffuse endocarditis where the reaction is rarely present. Arteriosclerosis and Hypertension: with Chapters on Blood Pressure, 3rd Edition. 2011-10-11T02:01:07.890Z This Focus discusses the merits of modern imaging techniques for the management of patients with suspected or proven infection and also addresses the challenges of detecting infective endocarditis early. [Focus] Imaging the Infected Heart 2011-09-07T19:25:04.827Z The use of contaminated syringes may result in diseases such as AIDS, endocarditis, and hepatitis. What Works: Schools Without Drugs 2011-08-17T02:00:26.487Z It seems likely that the heart affection is often responsible for the symptoms and it is probably through the endocarditis that whatever connection there is between chorea and rheumatism exists. Psychotherapy 2011-06-19T02:00:20.053Z It is apt to occur in connection with endocarditis. A System of Practical Medicine by American Authors, Vol. I Volume 1: Pathology and General Diseases 2012-03-17T02:00:54.097Z It has been shown that in 85 per cent of cases of aortic insufficiency in persons, usually males, over forty-five years, who did not have chronic infective endocarditis, the Wassermann reaction was positive. Arteriosclerosis and Hypertension: with Chapters on Blood Pressure, 3rd Edition. 2011-10-11T02:01:07.890Z He had been at the University of Pennsylvania Hospital in Philadelphia since last month, when he underwent emergency surgery after contracting bacterial endocarditis, an infection in the tissue around his heart. John Adler, Former New Jersey Congressman, Dies at 51 2011-04-05T04:15:27Z When Foreman suggests endocarditis, House likes the fit with the symptoms. The Dangerous Line Between Hypochondria and Illness 2011-02-08T23:06:59Z Shake and bake is how you get endocarditis.” An H.I.V. Strategy Invites Addicts In 2011-02-08T01:48:50Z The same may be said of the endocarditis and pericarditis noted by several authors. A System of Practical Medicine by American Authors, Vol. I Volume 1: Pathology and General Diseases 2012-03-17T02:00:54.097Z This arteriosclerotic endocarditis at times leads to very definite heart lesions, chiefly aortic or mitral insufficiency, or both with, at times, murmurs of a stenotic character at the base. Arteriosclerosis and Hypertension: with Chapters on Blood Pressure, 3rd Edition. 2011-10-11T02:01:07.890Z Pasteurella multocida, an infection commonly caused by pet licks, can cause everything from mild respiratory symptoms to serious conditions including endocarditis. Researchers warn against kissing pets 2011-01-26T18:39:03Z Trouble is, one needs a robust immune system to help fight off endocarditis, so prednisone—which will suppress the immune system to help defeat SLE—could kill Arlene. The Dangerous Line Between Hypochondria and Illness 2011-02-08T23:06:59Z Complications.—It may be complicated by broncho-pneumonia, albuminuria, carditis, endocarditis, and dilatation of the heart. Dietetics for Nurses Bouchut and Labadie-Lagrave, out of 15 cases of diphtheria, met in 14 with a plastic endocarditis, which became the source of emboli. A System of Practical Medicine by American Authors, Vol. I Volume 1: Pathology and General Diseases 2012-03-17T02:00:54.097Z When loud murmurs are heard at the aortic orifice and the heart is evidently diseased, it is useful to divide the endocarditis into two types, the arteriosclerotic and the endocarditic. Arteriosclerosis and Hypertension: with Chapters on Blood Pressure, 3rd Edition. 2011-10-11T02:01:07.890Z Inflammation of the muscular structure of the heart occurs in limited, circumscribed areas, as evidenced by post-mortem examination, and it is probably always somewhat involved in connection with pericarditis and endocarditis. Special Report on Diseases of Cattle House now believes it's not a bacterial infection but fungal endocarditis. The Dangerous Line Between Hypochondria and Illness 2011-02-08T23:06:59Z Subacute endocarditis, which is the most common form, may not become appreciable for several days after its commencement. Special Report on Diseases of the Horse Py�mic ophthalmia has been observed somewhat frequently in puerperal cases, especially when preceded by endocarditis, with deposits on the semilunar or mitral valves. A System of Practical Medicine by American Authors, Vol. I Volume 1: Pathology and General Diseases 2012-03-17T02:00:54.097Z They release the lid of a perfect Pandora's box of distempers—tuberculosis, pneumonia, rheumatism, bronchitis, Bright's disease, neuritis, endocarditis. Preventable Diseases The valves are subject to abnormal growths and structural changes in chronic endocarditis or as a result of acute endocarditis. Special Report on Diseases of Cattle Organisms circulating in the blood are prone to lodge on the valves of the heart and give rise to endocarditis. Manual of Surgery Volume First: General Surgery. Sixth Edition. In fatal cases of endocarditis death often occurs about the fourth day, from the formation of heart clot or too great embarrassment of the circulation. Special Report on Diseases of the Horse The cases of diphtheria complicated with endocarditis in my practice have ended fatally. A System of Practical Medicine by American Authors, Vol. I Volume 1: Pathology and General Diseases 2012-03-17T02:00:54.097Z Gas collecting in the stomach causes much distress to one who has endocarditis or valvular disease. Mother's Remedies Over One Thousand Tried and Tested Remedies from Mothers of the United States and Canada When the membrane which lines the cavities of the heart—the endocardium— suffers inflammation, the disease is called endocarditis. Special Report on Diseases of Cattle How long now is the list of diseases in which germs make their appearance—in pneumonia, in endocarditis, in erysipelas, in pyæmia, in tuberculosis, and so on and so on. Scientific American Supplement, No. 787, January 31, 1891 Acute valvular disease can not be distinguished from endocarditis, and chronic valvular affections are generally the result of endocardial inflammation. Special Report on Diseases of the Horse This training is necessary in valvular lesions after acute endocarditis or myocarditis, and is the reason that the return to work must be so carefully graduated. Disturbances of the Heart Associated with polyarthritis, Sydenham's chorea, and endocarditis; frequently causes scarring of the heart valves. Mother's Remedies Over One Thousand Tried and Tested Remedies from Mothers of the United States and Canada No doubt it is one of those cases of unsuspected endocarditis. Fire-Tongue It might occur after a serious acute infectious endocarditis, but then it would be associated with other lesions of the heart. Disturbances of the Heart As the disease nearly always is the result of endocarditis, the iodid of potassium and general tonics, sometimes stimulants, when general debility supervenes, may be of temporary benefit. Special Report on Diseases of the Horse Chronic endocarditis of the walls of the heart, not in immediate continuity with endocarditis of the valves, is perhaps not liable to occur, except with myocarditis. Disturbances of the Heart The first named, endocarditis, is very common and as the mitral valves become inflamed it is likely to leave valvular trouble unless carefully watched and treated at the time. Mother's Remedies Over One Thousand Tried and Tested Remedies from Mothers of the United States and Canada Therefore it certainly does not tend to prevent rheumatic endocarditis; hence for this complication alone salicylic acid is not indicated. Disturbances of the Heart As intimated in the preceding paragraph, the diet during endocarditis must be carefully regulated. Disturbances of the Heart It is a very common result of endocarditis extending into the aorta, which we find perhaps the most frequent seat of atheroma. Special Report on Diseases of the Horse On the other hand, about 40 percent of all patients with acute articular rheumatism develop endocarditis, sometimes perhaps so mild as to be hardly discoverable. Disturbances of the Heart Treatment.—The same as that given for endocarditis. Mother's Remedies Over One Thousand Tried and Tested Remedies from Mothers of the United States and Canada It is not easy to decide just whew all acute endocarditis has entirely subsided and a chronic, slow-going inflammation is substituted. Disturbances of the Heart Sooner or later, however, the left ventricle will become weakened, especially when there is arteriosclerosis or other hypertension, and chronic endocarditis and fatty degeneration result. Disturbances of the Heart These substances occur most frequently in those affections characterized by great exhaustion or debility, such as pneumonia, purpura hemorrhagica, endocarditis, phlebitis, puerperal fever, hemorrhages, etc. Special Report on Diseases of the Horse Therefore, acute mild endocarditis with future valvular lesions occurs most frequently during childhood and adolescence, and if one attack has occurred, a subsequent infection, especially of rheumatism, is liable to cause another acute endocarditis. Disturbances of the Heart Death may occur at any time after the third day from sudden heart failure, or from complications such as pleurisy, nephritis, meningitis, pericarditis, endocarditis, gangrene of the lungs. Mother's Remedies Over One Thousand Tried and Tested Remedies from Mothers of the United States and Canada Myocarditis and endocarditis occur frequently, and pericarditis occasionally. Disturbances of the Heart As it acts at times almost as a specific in rheumatism, it would seem that it should be of value in the endocarditis caused by rheumatism. Disturbances of the Heart The small, wartlike excrescences occurring sometimes in endocarditis may occasionally form a foundation on which a thrombi may develop. Special Report on Diseases of the Horse If the heart becomes seriously weak and the patient suffers much dyspnea, myocarditis should be known to be present with the endocarditis. Disturbances of the Heart If the bowels are known to be in excellent condition and not loaded with fecal matters, brisk catharsis is not needed simply because endocarditis has developed. Disturbances of the Heart Although mild endocarditis rarely causes death of itself, it may develop into an ulcerative endocarditis, and then be serious per se. Disturbances of the Heart Ulcerative endocarditis was for a long time believed to be inevitably fatal; it is now known that a small proportion of patients with this disease recover. Disturbances of the Heart Ulcerative endocarditis may develop on a mild endocarditis, with disintegration of tissue and deep points of erosion, and there may be little pockets of pus or little abscesses in the muscle tissue. Disturbances of the Heart If there is a diastolic murmur, there can be no question of serious endocarditis having occurred. Disturbances of the Heart If the process becomes septic, or if there is a serious septic reason for the endocarditis, the outlook is hopeless. Disturbances of the Heart This form of endocarditis is generally accompanied by a bacteremia, and the causative germs may be recovered from the blood. Disturbances of the Heart In instances in which hemorrhages so frequently occur, as they do in this form of endocarditis, calcium is theoretically of benefit. Disturbances of the Heart Heart strain may also be a cause of chronic endocarditis, especially at the aortic valve. Disturbances of the Heart Unexplainable palpation during acute illness liar been thought to be a distinct symptom of endocarditis. Disturbances of the Heart If this chronic endocarditis develops with a general arteriosclerosis, the wine inflammation soon occurs in the aorta, and, following the endarteritis in the aorta, atheromatous deposits may also occur there. Disturbances of the Heart The greater the amount of endocarditis, the greater the doubt of freedom from future permanent valvular lesions. Disturbances of the Heart Occasionally the ulcerations become serious, and ulcerative endocarditis or malignant endocarditis develops on the mild inflammation. Disturbances of the Heart Of course systolic murmurs may be due to a disturbed condition of the blood, but if they occur with the above-mentioned symptoms and signs, endocarditis should be diagnosed. Disturbances of the Heart This lesion, though not so common as the mitral lesion, is of not infrequent occurrence in children and young adults as a sequence of acute rheumatic endocarditis. Disturbances of the Heart As mild endocarditis rarely occurs primarily but is almost always secondary to some acute disease, its immediate treatment is only a slight modification of that of the disease which is causing it. Disturbances of the Heart Knowledge of the diseases which are most liable to cause endocarditis makes frequent heart examinations a necessity, to note when it arrives. Disturbances of the Heart While the discussion of hygiene would naturally be confined to the hygiene of the disease of which the endocarditis is a complication, still the hygiene of its most frequent cause, rheumatism, should be referred to. Disturbances of the Heart Since we have learned that bacteria are probably at the bottom of almost any endocarditis, the terms suggested under the classification of endocarditis as "mild" and "malignant" really represent a better understanding of this disease. Disturbances of the Heart In early childhood it is possible that it may be associated with left-side endocarditis. Disturbances of the Heart They are not separate entities, and a mild endocarditis may become an ulcerative endocarditis with malignant symptoms. Disturbances of the Heart On the other hand, malignant endocarditis may apparently develop de novo. Disturbances of the Heart Meningitis, pneumonia, diphtheria, typhoid fever and rarely rheumatism may all cause this severe form of endocarditis. Disturbances of the Heart Severe infections may tend to make not only an arteriosclerosis occur early in life, but also a chronic endocarditis. Disturbances of the Heart Septic infections after parturition are prone to cause endocarditis and myocarditis, and a malignant endocarditis may develop from uterine infection or uterine putridity. Disturbances of the Heart If a chronic endocarditis has followed an acute condition, some slight permanent papillomas or warty growths may he left from the healed granulating or ulcerated surfaces. Disturbances of the Heart It may follow acute endocarditis, but it most frequently follows chronic endocarditis or atheroma, in which the aortic valves become thickened and more or less rigid; this condition most frequently occurs in men. Disturbances of the Heart Malignant endocarditis may prove fatal in a few days, or may continue in a slow subacute process for weeks or even months. Disturbances of the Heart Acute endocarditis can probably not occur without some inyocarditis, and myocarditis probably does not occur without some endocardial disturbance and perhaps some pericardial irritation. Disturbances of the Heart As endocarditis is generally secondary to some acute disease, the patient has become weakened already, and the circulation is not sturdy; therefore such a drug as aconite is probably never indicated. Disturbances of the Heart Not infrequently and probably more frequently than we recognize, recovery without any of the pathologic lesions just described follows mild endocarditis. Disturbances of the Heart Other treatment of malignant endocarditis includes treatment of the condition which caused it plus treatment of "mild" endocarditis, as previously described, with meeting of all other indications as they occur. Disturbances of the Heart It is probably rare when acute endocarditis occurs that more or less myocarditis is not present. Disturbances of the Heart If endocarditis is present, soft systolic murmurs soon appear. Disturbances of the Heart The duration of acute endocarditis varies greatly; it may be two or three weeks, or the inflammation may become subacute and last for several months. Disturbances of the Heart These myocardial changes are sometimes associated with chronic pericarditis and chronic endocarditis, and may accompany or follow valvular disease of the heart. Disturbances of the Heart This is especially true in endocarditis which occurs during any acute infection, even in rheumatism. Disturbances of the Heart It has been shown positively that acute endocarditis is due to micro-organisms, generally streptococci, staphylococci or pneumococci, and, more frequently than once believed, gonococci. Disturbances of the Heart It will be noticed by the foregoing classification that the terms "mild" and "malignant" endocarditis are used. Disturbances of the Heart The prevention of mouth infections will be the prevention of rheumatism and of endocarditis. Disturbances of the Heart There is generally but little local pain; the temperature from simple endocarditis alone is not high and the acute symptoms tend to abate. Disturbances of the Heart The discomfort from blisters over the heart during the acute stage of endocarditis is greater than any good which they can do. Disturbances of the Heart While salicylic acid will not prevent endocarditis, it should he continued, if it is of benefit with regard to the arthritis. Disturbances of the Heart On the other hand, the endocarditis occurs during the second or third week of acute rheumatism, after the blood has been thoroughly saturated with salicylic acid. Disturbances of the Heart If there is no previous disease with fever, the temperature from this endocarditis is generally intermittent, accompanied by chills, with high rises of temperature, even with a return to normal temperature at times. Disturbances of the Heart If a more malignant form of endocarditis develops on a mild endocarditis, the diagnosis is generally not difficult. Disturbances of the Heart If, without a definite known septic process, malignant endocarditis develops, localized symptoms of heart disturbance and cardiac signs may be very indefinite. Disturbances of the Heart Such a subacute endocarditis may develop insidiously on a previously presumably healed endocardial lesion and cause symptoms which would not be associated with the heart, if an examination were not made. Disturbances of the Heart A chronic endocarditis which is part of a general arteriosclerosis requires no special treatment except that directed toward preventing the advance of the general disease. Disturbances of the Heart A certain proportion of cardiac diseases in children, especially endocarditis, seems to be due to a general septic infection which results in the so-called septic, infectious or malignant endocarditis. Disturbances of the Heart Mild endocarditis is rarely a primary affection, and is almost invariably secondary to one of the diseases named above. Disturbances of the Heart Not infrequently soft systolic murmurs are heard at the pulmonary and tricuspid valves during acute endocarditis. Disturbances of the Heart Whether a diminished alkalinity of the blood in rheumatism has anything to do with the cause of the frequent complication of endocarditis has not been determined. Disturbances of the Heart A chronic endocarditis with permanent lesions of the valves may become an acute inflammation with an infectious provocation. Disturbances of the Heart If it occurs in children or young adults, it is likely to be combined with aortic regurgitation, meaning that the valve hay been seriously injured by an endocarditis. Disturbances of the Heart Organisms may be found in a terminal simple endocarditis due to a chronic disease, as tuberculosis or cancer; such inflammations may have been caused by circulating toxins. Disturbances of the Heart Nearly 75 percent of secondary endocarditis occurs as a complication of acute articular rheumatism and chorea, or subsequently. Disturbances of the Heart It should be understood that especially in acute conditions a positive separation of endocarditis from myocarditis is incorrect. Disturbances of the Heart It has been shown that even in a few hours after endocarditis has started, little vegetations composed of fibrin, with white blood cells, red blood pigment and platelets, may develop. Disturbances of the Heart |
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