Infective Endocarditis

Infective Endocarditis has several predisposing factors.

These include
 - Rheumatic heart disease
 - Mitral Valve Prolapse
 - Intravenous Drug User
 - Congenital Heart Disease (*bicuspid aortic valve)
 - Prosthetic Valve
 - HOCM

(imagine an pregnant (Cong. HD) IVDU, collapsed (MV Prolapse) in a room (Rheum), with a prosthetic leg (prosthetic valve) made by the HCME (HOCM) company) Yeah, I know it's messed up.

Several organisms tend to be the culprit with this condition:

• Viridans Streptococci
• Streptococcus Bovis
• Staphylococcus Aureus
• Enterococci
• Gram Negative

(imagine a smiling (VS) cow (SB) in a pink cloak (gram -ve) holding a staff (SA) beckoning you to enter (Enterococci).

Clinical Features include:

 A) Fever (*90%)

 B) Anorexia & Weight Loss

 C) Clubbing

 D) Splinter Haemorrhages

 E) Osler's Nodes

 F) Janeway's Lesions

 G) Petechiae

 H) Roth's Spots

 I) New or changing murmur

 J) Systemic Emboli

 K) Splenomegaly

 L) Haematuria