Streptococcal Infections—Endocarditis

Endocarditis, also called infective endocarditis (IE), is an inflammation of the inner lining of the heart. The most common type, bacterial endocarditis, occurs when germs enter your heart. These germs come through your bloodstream from another part of your body, often your mouth. Bacterial endocarditis can damage your heart valves. If untreated, it can be life-threatening. It is rare in healthy hearts.

Risk factors include having

• An abnormal or damaged heart valve
• An artificial heart valve
• Congenital heart defects

The signs and symptoms of IE can vary from person to person. They also can vary over time in the same person. Symptoms you might notice include fever, shortness of breath, fluid buildup in your arms or legs, tiny red spots on your skin, and weight loss. Your doctor will diagnose IE based on your risk factors, medical history, signs and symptoms, and lab and heart tests.

Early treatment can help you avoid complications. Treatment usually involves high-dose antibiotics. If your heart valve is damaged, you may need surgery.

If you’re at risk for IE, brush and floss your teeth regularly, and have regular dental checkups. Germs from a gum infection can enter your bloodstream. If you are at high risk, your doctor might prescribe antibiotics before dental work and certain types of surgery.

NIH: National Heart, Lung, and Blood Institute

• Culture-negative endocarditis (Medical Encyclopedia)
• Endocarditis (Medical Encyclopedia)
• Endocarditis – children (Medical Encyclopedia)

Also called: Strep

Strep is short for Streptococcus, a type of bacteria. There are two types: group A and group B.

Group A strep causes

• Strep throat – a sore, red throat. Your tonsils may be swollen and have white spots on them.
• Scarlet fever – an illness that follows strep throat. It causes a red rash on the body.
• Impetigo – a skin infection
• Toxic shock syndrome
• Cellulitis and necrotizing fasciitis (flesh-eating disease)

Group B strep can cause blood infections, pneumonia and meningitis in newborns. A screening test during pregnancy can tell if you have it. If you do, I.V. antibiotics during labor can save your baby’s life. Adults can also get group B strep infections, especially if they are elderly or already have health problems. Strep B can cause urinary tract infections, blood infections, skin infections and pneumonia in adults.

Antibiotics are used to treat strep infections.

NIH: National Institute of Allergy and Infectious Diseases

• Ecthyma (Medical Encyclopedia)
• Erysipelas (Medical Encyclopedia)
• Group B streptococcal septicemia of the newborn (Medical Encyclopedia)
• Group B streptococcus – pregnancy (Medical Encyclopedia)
• Perianal streptococcal cellulitis (Medical Encyclopedia)
• Rheumatic fever (Medical Encyclopedia)
• Scarlet fever (Medical Encyclopedia)
• Strep throat (Medical Encyclopedia)
• Streptococcal screen (Medical Encyclopedia)
• Throat swab culture (Medical Encyclopedia)
• Toxic shock syndrome (Medical Encyclopedia)