
26. Heart of the Infection - Infective Endocarditis
The Intern At Work: Internal Medicine
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Infections and Endocarditis
As infective endocarditis is a bacterial infection, antibiotics are required for treatment. We typically use IV-Sophazulin in our stable patients and add vancomycin if they are MRSA colonized or have a high-risk history such as an individual with the history of IV drug use. Refampin is often also used as adjective therapy for those of the suspected infected prosthetic valves. Following a period of appropriate antibiotic therapy, your patient may warrant cardiac surgery to replace the infected valve. This may be indicated with complications of the infection, such as valvular dysfunction causing heart failure,. Multi-drug resistant organisms or fungal infections, abscess, persistent bactere
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