Question: Explain in an easy way Infective Endocarditis . Three elements necessary 1. Endocardial damage . Valve surgery, valve disease, prosthetic valve . Cause heart murmur,

Explain in an easy way

Infective Endocarditis . Three elements necessary 1. Endocardial damage . Valve surgery, valve disease, prosthetic valve . Cause heart murmur, abnormal blood flow . Damaged valve attracts platelets/clots 2. Microorganism enters blood . Dental work, IV, IV drug use etc. . Adheres to damaged valve/endocardium 3. Infective vegetations grow on valve . Bacteria enter the clot made in step 1 . Protected by the fibrin clots from WBC and antibiotics (From Damjanov I, Linder J: Pathology: a color atlas, St Louis, 2000, Mosby.) . Bacteria reproduce, grow, destroy tissue . Further damage to valves, spread infection

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