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Laurel, MD 20707
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Generally, our blood will have some bacteria that directly come from oral cavity, nasopharynx area or other parts, which will be eliminated at any time.
Defense capability in the lower body, all kinds of bacteria from the inflammation of the pharynx isthmus invasion of blood or oral site of infection, “settled” in the damage or abnormal heart valves, the endocardium caused by inflammation, which is called endocarditis as the “infective endocarditis.”
Known as infective endocarditis is caused by dental instrumentsbacteria, fungi, viruses caused by direct infection of the endocardium. The disease is divided into acute and subacute types, and to sub-acute form is more common. Acute infective endocarditis clinical manifestations of rapid onset, severe illness, a sudden high fever, chills and anemia, muscle and joint pain, weakness, sweating, and other systemic manifestations of sepsis, the short term there will be the heart of the high tone systolic murmur, and shortness of breath, other symptoms can not be supine.
Subacute infective endocarditis is slow onset, sustained in a week or more irregular fever, body temperature and more between the 37 ~ 39 , general malaise, fatigue, weight loss, loss of appetite, progressive dental loupesanemia, night sweats, shortness of breath, splenomegaly and so on. The nature of the original heart murmur and loudness changes or new heart murmur, petechiae prevalent in the skin and mucous membranes with eyelid, oral mucosa, skin, hand, foot or lower limb such as the dorsal skin. This is due to the infection of toxin in the blood vessels, increasing its fragility, caused by bleeding or due to embolism.
Once diagnosed as infective endocarditis, should immediately take the following measures:
1, in time, infection control, rational use of bactericidal antibiotics, usually penicillin as the drug of choice. If those who are allergic to penicillin, erythromycin or vancomycin could be replaced by intravenous drip.
2, pay attention to oral care, often to maintain oral dental x rayhygiene, use of 3% boric acid rinse mouth with water.
3, to keep warm and keep the skin dry and clean.
4, for those who have gingivitis or tooth abscess, incision and drainage should or local cleaning, and to strengthen the use of antibiotics.