Endocarditis, Bacterial, Subacute [SBE]

Alternate Name:

Test:

B.culture (+), WCC (H), B.neutrophils (H), Hb (L,normocytic& normochromic), ESR (VH), CRP (+), U.protein (+), S.Ig (H), U.blood (+), U.M/C/S (AB)

Sign:

Clubbing of fingers, retinal haemorrhages, sple-nomegaly (subacute), splinter haemorrhages, tachycardia, Janeway lesion

Dd:

Rheumatic fever, SLE, periarteritis nodosa, syph-ilis, lymphoma, brucellosis, TB, cardiac tumour or aneurysm, aortic aneurysm

Phys:

Commonly occurs in previously damaged or ab­normal hearts, particularly after rheumatic fever. Usually involves mitral or aortic valve. Insidious in onset with fever, petechiae, splenomegaly, anae­mia and cardiac murmur