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What precautions would you take to prevent bacterial endocarditis ?

What precautions would you take to prevent bacterial endocarditis ? 

Antibiotic prophylaxis before any dental, gastrointestinal, urological or gynaeco-logical procedure is recommended in rheumatic valvular disease, most congenital heart lesions (except uncomplicated atrial septal defect of secundum type), valvular aortic stenosis, prosthetic heart valve, previously documented infective endocarditis and calcified mitral valve annulus (Circulation 1997; 96: 358-66).

What are the major manifestations of bacterial endocarditis ?

What are the major manifestations of bacterial endocarditis ? 

• Manifestations of a systemic infection: fever, weight loss, pallor, splenomegaly. 

• Manifestations of a vasculitic phenomenon: cardiac failure, changing murmurs, petechia , Roth's spots , Osler nodes , Janway lesions , splinter hemorrhages, stroke, infarction of viscera, mycotic aneurysm. 

• Manifestations of immunological reactions: arthralgia, finger clubbing, uraemia.

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