Acute Endocarditis


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Acute Endocarditis

A term which is still widely used but now discouraged for fulminant endocarditis, which was presumed to be bacterial in origin, typically Staphylococcus aureus, and led to systemic infection within days to weeks. Given the uncertainties of the cause, short incubation endocarditis (< 6 weeks) and long incubation endocarditis (> 6 weeks) are preferred.
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Email: r.smego@tcmedc.org Table 1: General characteristics of 159 patients with infective endocarditis, Pakistan 1988-2001 Characteristic Value Number of patients 159 Age in years (mean +/- SD *) 34.6 +/- 21.2 Male:female ratio 103:56 'Definite endocarditis' 95 (59.7) 'Possible endocarditis' 64 (40.3) Nosocomial endocarditis (after > 72 hrs in-hospital) 5 (3) Acute endocarditis 55 (34.5) Subacute endocarditis (+) 99 (62) * SD = standard deviation (+) Subacute endocarditis defined as symptoms >10 days.
Cytopathologyrevealedmarkedacuteandchronicinflammation of the aortic valve consistent with acute endocarditis as well as focal necrosis and exudate of the aortic graft consistent with an abscess.

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