You'll still need to see your doctor regularly to make sure your treatment is working.It's important to tell your doctor about any signs or symptoms that may mean your infection is getting worse, such as:Also, if you develop diarrhea, a rash, itching or joint pain, let your doctor know as soon as possible. Chen TT, Yeh YC, Chien KL, et al. Risk of Infective Endocarditis After Invasive Dental Treatments: Case-Only Study. Iversen K, Ihlemann N, Gill SU, et al.

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The management of infective endocarditis (IE) includes prompt diagnosis, treatment with antimicrobial therapy, and in some cases of complicated IE, surgical management. Sometimes, surgery may be required to fix damaged heart valves and clean up any remaining signs of the infection.If you have endocarditis, your doctor might recommend high doses of intravenous (IV) antibiotics in the hospital. Based on the results of your blood tests, your doctor will choose the most appropriate antibiotic or combination of antibiotics to fight the infection.You'll generally spend a week or more in the hospital when you start taking IV antibiotics.
The management of infective endocarditis (IE) includes prompt diagnosis, treatment with antimicrobial therapy, and in some cases of complicated IE, surgical … Check with your local chapter or print the card from the association's website.The first doctor you see will likely be your family doctor or an emergency room physician.

Estimated risk of endocarditis in adults with predisposing cardiac conditions undergoing dental procedures with or without antibiotic prophylaxis.
N Engl J Med 2019; 380:1373. Surgery is also sometimes needed to treat endocarditis that's caused by a fungal infection.Depending on your condition, your doctor may recommend either repairing your damaged valve or replacing it with an artificial valve made of cow, pig or human heart tissue (biological tissue valve) or man-made materials (mechanical valve).If you're at risk of endocarditis, let all of your health care providers know. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. During this test, a small transducer attached to the end of a tube is inserted down the tube leading from your mouth to your stomach (esophagus). Your doctor will use blood culture tests to help identify the organism that's causing your infection. A diagnosis of endocarditis is usually based on several factors instead of a single positive test result or symptom.Your doctor may order several tests to help make a positive diagnosis, including:In a transthoracic echocardiogram, sound waves directed at your heart from a wandlike device (transducer) held on your chest produce video images of your heart in motion. You may want to request an endocarditis wallet card from the American Heart Association. A blood culture test is used to identify any bacteria or fungi in your bloodstream, and it's the most important test your doctor will perform. Chakraborty T, Scharf E, DeSimone D, et al. N Engl J Med 2019; 380:415. A diagnosis of endocarditis is usually based on several factors instead of a single positive test result or symptom.Your doctor may order several tests to help make a positive diagnosis, including: 1. For endocarditis, some basic questions you might want to ask your doctor include:Your doctor will probably ask you many questions, including:Mayo Clinic does not endorse companies or products. This gives your doctor time to see if the antibiotics are working against your infection. PLoS One 2015; 10:e0118616. (See "Culture-negative endocarditis: Epidemiology, microbiology, and diagnosis" and "Antimicrobial therapy of left-sided native valve endocarditis" and "Clinical manifestations and evaluation of adults with suspected left-sided native valve endocarditis" .) This test can help your doctor look at your heart's structure and check it for any signs of infection or damage.Doctors may conduct another type of echocardiogram called a transesophogeal echocardiogram to get a closer look at your heart valves. Durack DT, Beeson PB. Preventive measures including antimicrobial … Clinical manifestations and evaluation of adults with … Clin Infect Dis 2006; 42:e102. Impact of routine cerebral CT angiography on treatment decisions in infective endocarditis. This test can allow your doctor to get much more detailed pictures of your heart than is possible with a transthoracic echocardiogram.Many cases of endocarditis are successfully treated with antibiotics. Your doctor may suspect endocarditis based on your medical history, signs and symptoms you're experiencing, and your test results. © 1998-2020 Mayo Foundation for Medical Education and Research (MFMER). Blood tests. Mayo Clin Proc 2019; 94:1024. Partial Oral versus Intravenous Antibiotic Treatment of Endocarditis.


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