Cardiology:
Endocarditis — Differential diagnosis and conservative treatment. Treatment abroad

 Endocarditis is endocardium inflammation. In most cases, its cause is bacterial infections, and less frequently organic heart diseases, injuries, or allergies. The clinical picture of the disease is very diverse, so the diagnosis requires a detailed examination of patients.

Diagnostics

Endocarditis is suspected upon appearance of noise and other signs of damage to the heart valves (including the skin pigmentation, enlarged spleen, blood traces in the urine). Fever indicates the bacterial form of pathology. 

To confirm the suspicion, the patient is prescribed a set of studies:

  • Complete blood count. The patients show an increase in white blood cell count and erythrocyte sedimentation rate.
  • Blood chemistry. An increase in the concentration of alpha- and gamma-globulins, circulating immune complexes, and M immunoglobulin can be observed.
  • Bacterial blood cultures. The venous or arterial blood is studied. Samples are examined for availability of infectious agents. Inoculation is repeated every 3 to 12 hours for 2 days. Such multiple studies significantly reduce the chance of error. When the first 3 to 4 tests show negative results, the special media for isolation of slowly-growing microorganisms are used.
  • Echocardiography and heart MRI. They allow detecting structural changes in the heart tissues.

The diagnosis is established based on the aggregate findings.

Conservative Treatment

The basis of treatment is antibiotics. Specific drugs are selected based on bacterial inoculation test findings. In most instances, therapy begins with intravenous administration of penicillins. Upon intolerance to them, the patient is transferred to macrolides and aminoglycosides. Fungal endocarditis is treated with amphotericin B. The duration of drug intake is 2 to 6 weeks.

Upon staphylococcal endocarditis, the immunotherapy is conducted simultaneously. Within 3 to 5 days, the patient receives antistaphylococcal plasma via the drip. Upon sepsis development, the plasmapheresis is administered. To facilitate the general condition, the thrombolytics and cardiac glycosides can be recommended. 

After completion of the treatment course, the patient is still observed for 7 to 10 days in a hospital to prevent the disease relapses.

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University Hospital Cologne

8.9/10 from 82 Votes

Endocarditis differential diagnosis and conservative treatment

The Department of Cardiology, Angiology, Pneumology and Intensive Care Medicine of the University Hospital Cologne is part of the Heart Center Cologne. The Department offers its patients treatment at the highest level with the use of all innovations for treating coronary artery stenosis, arrhythmias and hypertension.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 9770.00

University Hospital rechts der Isar der TU München

8.3/10 from 70 Votes

Endocarditis differential diagnosis and conservative treatment

A team of experts from the Department of Internal Medicine at the university hospital Klinikum rechts der Isar treats patients with cardiovascular diseases.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 11045.00

University Hospital Frankfurt

7.5/10 from 97 Votes

Endocarditis differential diagnosis and conservative treatment

Department of Cardiology is a part of one of the most prestigious German hospitals – the University Hospital Frankfurt. The doctors of the Department are not only perfectly trained, but they also pay attention to upskilling and take an active part in medical researches.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 11226.00

Charite University Hospital Berlin

9/10 from 95 Votes

Endocarditis differential diagnosis and conservative treatment

The Department of Cardiology and Angioly at the University Hospital Charite Berlin treats patients with cardiac and angiological diseases. It is located at the Charite Mitte Campus.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 13474.00

RWTH University Hospital Aachen

8.7/10 from 41 Votes

Endocarditis differential diagnosis and conservative treatment

The focuses of the Medical Department I are Cardiology, Pneumology, Angiology and Internal Intensive Medicine. In cooperation with the medical departments II and IV, there is treated the entire spectrum of internal diseases at the highest level.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen

Price 8807.00

University Hospital Heidelberg

9/10 from 57 Votes

Endocarditis differential diagnosis and conservative treatment

The Department of Cardiology, Angiology, and Pneumology at the Heidelberg University Hospital with the staff of over 500 members is the largest department of the Heidelberg University Hospital. The Department constanly expands the specialization of its clinical and scientific activities.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Heidelberg

Alfried Krupp Hospital in Essen-Ruettenscheid

9.9/10 from 42 Votes

Endocarditis differential diagnosis and conservative treatment

The main treatment areas of the Department of Internal Medicine I, headed by Prof. Dr. med. Thomas Budde, are invasive and non-invasive cardiac diagnostics and therapy of all cardiac diseases.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 8047.00

Städtisches Klinikum Neuperlach

9.8/10 from 11 Votes

Endocarditis differential diagnosis and conservative treatment

The department of cardiology, pneumology and internal intensive care treats cardiovascular disease and lung diseases. seriously ill patients are treated in intensive care units. The medical emphases of cardiology are the treatment of valvular heart disease, arrhythmias and myocardial insufficiency or heart failure.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 8928.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Endocarditis differential diagnosis and conservative treatment

The main focus of the cardiology and angiology clinic is clinical treatment, as well as experimental and clinical studies of acute myocardial infarction, chronic heart failure, arteriosclerosis and heart rhythm abnormalities.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover

Price 9613.00

Preventicum Hospital

9.8/10 from 1 Votes

Endocarditis differential diagnosis and conservative treatment

Basis of an optimum medical advice in the Department of Cardiology is the precise, reliable diagnosis of all possible risk factors and diseases. With the ultrasound examination, soft tissue can be well judged.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 9568.00

Schlosspark-Klinik

9.7/10 from 23 Votes

Endocarditis differential diagnosis and conservative treatment

The Department of Internal Medicine I at the Schlosspark-Klinik provides the whole range of services in the field of modern diagnosis and treatment of diseases of the internal organs.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 9508.00

Gummersbach District Hospital of the Klinikum Oberberg

9.6/10 from 23 Votes

Endocarditis differential diagnosis and conservative treatment

The Department of Internal Medicine I at the Klinikum Oberberg in Gummersbach provides treatment to patients with all diseases from the field of internal medicine apart from drug treatment of malignancies (cancer) and blood disorders (hematology / Department of Internal Medicine II).


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Gummersbach

Price 7895.00

St. Anna Hospital Herne

9.5/10 from 7 Votes

Endocarditis differential diagnosis and conservative treatment

The Department of Internal Medicine specializes in: Diagnosis and treatment of diseases of the internal organs, especially treatment of the heart, blood vessels, lungs and kidneys ECG, ultrasound, body plethysmography Long-term measurement of blood pressure in the treatment of hypertension Im...


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Herne

Price 8944.00

University Hospital Dusseldorf

9.5/10 from 71 Votes

Endocarditis differential diagnosis and conservative treatment

The Department of Cardiology, Pneumology and Angiology at the University Hospital Dusseldorf  provides treatment for the whole range of diseases in the field of cardiovascular medicine.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Duesseldorf

Price 11489.00

Hospital Hildesheim

9.5/10 from 23 Votes

Endocarditis differential diagnosis and conservative treatment

The clinic is operating on Hildesheim medical center territory since 2009 and is a certified center of German Society of Cardiology. Clinic is ensuring optimal diagnosis, treatment and care for patients with acute and chronic pain in the chest, and various problems of cardiac nature.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hildesheim

Price 9010.00

Hirslanden Hospital Aarau

9.5/10 from 15 Votes

Endocarditis differential diagnosis and conservative treatment

Our aim is to provide you with the best possible advice and care in the event of heart or vascular problems.


Duration 10 days
Type of Treatment: Inpatient
location_onCountry: Switzerland
location_searchingCity: Aarau