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Cardiology: Endocarditis — Differential diagnosis and conservative treatment. Treatment

St. Vincentius Hospital Karlsruhe-Academic Hospital of the University of Freiburg

9.8/10 from 23 Votes
location_onGermany, Karlsruhe

Department of Cardiology, Angiology and Intensive Care Medicine

Endocarditis differential diagnosis and conservative treatment #336383

The Department of Cardiology, Angiology and Intensive Care Medicine provides modern diagnostics and treatment of all forms of acquired and congenital heart diseases.

Include:
people Interpreter up to 8 hours
list Translation of medical documents up to 5 pages
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book Insurance against increased costs in case of complications with a cover of 200,000 €

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes
location_onGermany, Munich
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Department of Cardiology, Angiology and Pulmonology

Endocarditis differential diagnosis and conservative treatment #178511

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

University Hospital Muenster

9.8/10 from 78 Votes
location_onGermany, Muenster
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Department of Cardiology

Endocarditis differential diagnosis and conservative treatment #137619

The Department of Cardiology is part of the Center for Heart and Vascular Medicine at the University Hospital Muenster (UHM). The patients with all diseases of the heart, circulatory and vascular system are treated here.

University Hospital Frankfurt am Main

10/10 from 97 Votes
location_onGermany, Frankfurt am Main
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Department of Cardiology and Angiology

Endocarditis differential diagnosis and conservative treatment #76567

According to the Focus magazine rating of 2017, the Department of Cardiology and Angiology ranks among the top German departments in the treatment of heart diseases! The department offers the full range of services in the field of diagnosis and treatment of cardiological and angiologic disorders.

Academic Hospital Sachsenhausen Frankfurt am Main

10/10 from 23 Votes
location_onGermany, Frankfurt am Main

Department of Cardiology, Gastroenterology and Sleep Medicine

Endocarditis differential diagnosis and conservative treatment #334187

The Department of Cardiology, Gastroenterology and Sleep Medicine covers a full range of diagnostics and treatment of all diseases of the gastrointestinal tract, liver and cardiovascular diseases. In addition, the department specializes in the study of sleep and related phenomena.

Academic Hospital Neuperlach Munich

9.8/10 from 11 Votes
location_onGermany, Munich
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Department of Cardiology, Pneumology and Internal Intensive Care

Endocarditis differential diagnosis and conservative treatment #144241

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.

HELIOS Clinic Krefeld

9.7/10 from 38 Votes
location_onGermany, Krefeld

Department of Cardiology

Endocarditis differential diagnosis and conservative treatment #388360

The Department of Cardiology offers the full range of services in this medical focus. The department specializes in the treatment of heart failure, heart rhythm disorders, heart valve diseases and other heart pathologies. For the provision of emergency medical care, the department has a Chest Pain Unit.

Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes
location_onGermany, Berlin

Department of Internal Medicine, Cardiology and Conservative Intensive Medicine

Endocarditis differential diagnosis and conservative treatment #337832

The Department of Internal Medicine, Cardiology and Conservative Intensive Medicine offers the full range of treatment of internal diseases. Diseases of the heart, lungs and pathologies associated with circulatory disorders are treated here.

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes
location_onGermany, Hamburg

Department of Cardiology

Endocarditis differential diagnosis and conservative treatment #356889

The Department of Cardiology offers the full range of services in this field. It provides high-quality diagnostics and treatment of cardiovascular diseases, pathologies of large vessels and all internal comorbidities. Patients with heart attacks are provided with round-the-clock medical care.

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes
location_onGermany, Munich
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Department of Cardiology and Internal Intensive Medicine

Endocarditis differential diagnosis and conservative treatment #68731

The Department of Cardiology and Intensive Care Medicine at the Academic Hospital Bogenhausen offers all modern diagnostic and therapeutic methods for heart and circulatory diseases. The medical emphases are on the non-invasive and invasive diagnosis and treatment of heart disease and cardiac arrhythmias.

PAN Clinic Cologne

9/10 from 14 Votes
location_onGermany, Cologne
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Department of Internal Medicine and Cardiology

Endocarditis differential diagnosis and conservative treatment #36841

The Department of Internal Medicine and Cardiology at the PAN Clinic on Neumarkt covers the whole range of general, conservative and interventional cardiology, as well as internal medicine.

Academic Hospital Schwabing Munich

8.5/10 from 7 Votes
location_onGermany, Munich
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Department of Cardiology, Pneumology and Internal Intensive Medicine

Endocarditis differential diagnosis and conservative treatment #140405

The Department of Cardiology, Pneumology and Internal Intensive Care Medicine in Schwabing treat patients with acute and chronic diseases of the heart and lungs.

Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes
location_onGermany, Berlin

Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care

Endocarditis differential diagnosis and conservative treatment #358217

The Department of Cardiology, Angiology, Nephrology and Conservative Intensive Care offers the full range of services in the relevant medical fields. It provides high-precision diagnostics and complex treatment of all diseases of the heart, vessels and kidneys.

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes
location_onIsrael, Tel Aviv

Department of Cardiology

Endocarditis differential diagnosis and conservative treatment #329921

The Department of Cardiology at the Tel Aviv Sourasky Medical Center specializes in the diagnosis and treatment of the entire spectrum of heart diseases starting from critical conditions up to chronic pathologies requiring ongoing monitoring or rehabilitation.

Hannover Medical School

9.8/10 from 43 Votes
location_onGermany, Hannover
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Department of Cardiology and Angiology

Endocarditis differential diagnosis and conservative treatment #247115

The Department of Cardiology and Angiology at the Hannover Medical School specializes in treatment of acute myocardial infarction, chronic heart failure, arteriosclerosis and cardiac arrhythmias. An interdisciplinary focus is on cardiomyopathy in pregnancy, especially on the peripartum cardiomyopathy.

University Hospital Cologne

9.8/10 from 82 Votes
location_onGermany, Cologne
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Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine

Endocarditis differential diagnosis and conservative treatment #78415

According to the Focus magazine rating, the Department of Cardiology, Angiology, Pulmonology and Intensive Care Medicine at the University Hospital Cologne ranks among the top German departments specializing in the treatment of cardiovascular diseases! The department provides the entire ra...

 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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