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Bacterial endocarditis. Echocardiographic and clinical evaluation during therapy
Author(s) -
Nomeir AbdelMohsen,
Watts Earl,
Philp James R.
Publication year - 1976
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.1870040109
Subject(s) - medicine , endocarditis , bacterial endocarditis , antibiotic therapy , cardiology , vasculitis , subacute bacterial endocarditis , heart disease , thickening , mitral valve , antibiotics , surgery , disease , microbiology and biotechnology , chemistry , polymer science , biology
In two patients with bacterial endocarditis and apparent vegetations, the echocardiographic findings included thickening but normal excursion of the mitral leaflet and abnormal shaggy echoes superimposed on the mitral leaflet echogram. Both patients had had endocarditis several weeks before the study was performed. In both patients the abnormal echoes disappeared after antibiotic therapy. Whether or not the echocardiographic findings are specific to bacterial endocarditis must be determined by further studies. One patient had evidence of “immune complex disease” with vasculitis, hypocomplementemia, and renal failure which persisted for weeks after disappearance of vegetations on the echocardiogram. This sequence was unexpected, as a continued source of antigen for this reaction was not apparent.