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Endocarditis con cultivo negativo - Treatment

Nombres alternativos

Endocarditis de cultivo negativo

Tratamiento:

A usted lo hospitalizarán, de manera que pueda recibir medicamentos a través de una vena. Asimismo, se necesitan antibióticos en altas dosis y a largo plazo o tratamiento antimicótico. El tratamiento normalmente se administra durante 4 a 6 semanas.

Puede necesitarse cirugía para reemplazar las válvulas cardíacas dañadas.

Expectativas (pronóstico):

Las válvulas cardíacas pueden dañarse si el diagnóstico y el tratamiento se demoran.

Complicaciones:

  • Conexiones anormales dentro del corazón
  • Coágulos sanguíneos que viajan al cerebro, los riñones, los pulmones o el abdomen
  • Absceso cerebral
  • Insuficiencia cardíaca congestiva
  • Latidos cardíacos rápidos o irregulares, incluyendo fibrilación auricular
  • Daño valvular severo
  • Accidente cerebrovascular
  • Reviewed last on: 4/27/2010
  • Daniel Levy, MD, Infectious Disease, Maryland Family Care, Lutherville, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Fowler VG Jr, Scheld WM, Bayer AS. Endocarditis and Intravascular Infections. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009; chapt 77.

Karchmer AW. Infective Endocarditis. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. St. Louis, Mo: WB Saunders; 2007:chap 63.

Wilson W, Taubert KA, Gewitz M, et al. Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation. 2007 Oct 9;116(15):1736-54.

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