Een uitgebreide samenvatting over endocarditis in de echocardiografie. Deze samenvatting is gemaakt met behulp van het boek praktische echocardiografie van Hamer en Pieper.
Andere prognostische ongunstige
- Klep destructie
- Perivalvulaire uitbreiding van de ontsteking
o Abces, pseudo-aneurysma, fistel, pericard vocht
TTE vs TEE
- TEE is sensitiever
- TTE geeft onmisbare info over de LVF, RVF, kleplijden en pulmonaaldruk
Endocard beschadiging
- Aan gezond endocard hechten zich vrijwel nooit bacteriën
- Aan beschadigd endocard hechten bacteriën
- Bacteriëmie kan ontstaan door geïnfecteerd weefsel
- Slechte gebitshygiëne kan ook de porte d’entree zijn
- ASD bijzonder kleine kans op endocarditis
- Klein VSD met snelle jet kan wel endocarditis ontstaan
Endocarditis op gezonde klep door
- Stafylokokken
- Pneumokokken
Klinische symptomen
- Koorts (maar lang niet altijd)
- Pathologische souffle
- Cerebrale embolisatie
- Perifere embolisatie
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