Karolina Akinosoglou, Efstratios Apostolakis, Markos Marangos, Geoffrey Pasvol
Department of Internal Medicine and Infectious Diseases, University Hospital of Patras, 26504, Rio, Greece; Department of Infection & Tropical Medicine, Imperial College London, Northwick Park Hospital, Harrow Middlesex HA1 3UJ, United Kingdom. Electronic address: k.akinosoglou07@imperial.ac.uk.
European journal of internal medicine 2013 SepRight-sided infective endocarditis (RSIE) accounts for 5-10% of all cases of infective endocarditis (IE), and is predominantly encountered in the injecting drug user (IDU) population, where HIV and HCV coinfections often coexist. Staphylococcus aureus is the most common pathogen. The pathogenesis of RSIE is still not well understood. RSIE usually presents as a persistent fever with respiratory symptoms whilst signs of systemic embolisation as seen in left-sided IE are notably absent. The prompt diagnosis of RSIE thus requires a high index of suspicion. Transthoracic echocardiography (TTE) can detect the majority of RSIE, whilst transoesophageal echocardiography (TOE) can increase sensitivity. Virulence of the causative organism and vegetation size are the major determinants of prognosis. Most cases of RSIE resolve with appropriate antibiotic administration. Copyright © 2013 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
Karolina Akinosoglou, Efstratios Apostolakis, Markos Marangos, Geoffrey Pasvol. Native valve right sided infective endocarditis. European journal of internal medicine. 2013 Sep;24(6):510-9
PMID: 23369408
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