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endocarditi
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Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 20
Published: 01 September 2024
10.55418/9781933477435-16
ISBN-10: 1-933477-43-1
ISBN: 978-1-933477-43-5
...INFECTIVE ENDOCARDITIS General Considerations, Including Etiology and Synonyms Endocarditis is defined as inflammation of the endocardial tissue, which may involve the heart valves, chordae tendineae, and septum. The inflammatory process in infective endocarditis is characterized...
Images
Published: 01 September 2024
INFECTIVE ENDOCARDITIS VEGETATIONS Figure 16-3 INFECTIVE ENDOCARDITIS VEGETATIONS Multiple, friable, yellow-tan infective endocarditis vegetations involve the mitral valve. (Courtesy of the CDC PHIL) More about this image found in INFECTIVE ENDOCARDITIS VEGETATIONS Multiple, friable, yellow-tan infective...
Images
Published: 01 September 2024
PATHOPHYSIOLOGY OF INFECTIVE ENDOCARDITIS Figure 16-1 PATHOPHYSIOLOGY OF INFECTIVE ENDOCARDITIS More about this image found in PATHOPHYSIOLOGY OF INFECTIVE ENDOCARDITIS
Images
Published: 01 September 2024
INFECTIVE ENDOCARDITIS DUE TO BARTONELLA SPP Figure 17-6 INFECTIVE ENDOCARDITIS DUE TO BARTONELLA SPP Valvular vegetations are composed of fibrin and neutrophils (A,B). Clusters of associated bacilli are confirmed on a bacterial silver stain (C). More about this image found in INFECTIVE ENDOCARDITIS DUE TO BARTONELLA SPP Valvular veg...
Images
Published: 01 September 2024
INFECTIVE ENDOCARDITIS Figure 16-2 INFECTIVE ENDOCARDITIS Ocular involvement shows Roth spots on fundoscopic examination. Note the round to flame-shaped retinal hemorrhage with pale center (arrow). (Courtesy of the Centers for Disease Control and Prevention [CDC] Public Health Image Library [PHIL... More about this image found in INFECTIVE ENDOCARDITIS Ocular involvement shows Roth spots on fundoscopic ...
Images
Published: 01 September 2024
HISTOPLASMA ENDOCARDITIS Figure 23-7 HISTOPLASMA ENDOCARDITIS A: This most often affects the left heart valves, particularly the aortic valve. B,C: There is often underlying valvular disease and organisms usually appear enmeshed in fibrin (B). Short hyphal forms may be seen in these lesions (C) (GMS stain). More about this image found in HISTOPLASMA ENDOCARDITIS A: This most often affects the l...
Images
Published: 01 September 2024
INFECTIVE ENDOCARDITIS Figure 16-4 INFECTIVE ENDOCARDITIS The layered fibrin and associated inflammatory cells make up the valvular vegetation (A,B). A fungal Grocott methenamine silver (GMS) stain highlights scattered bacterial organisms (C), which may show altered morphologic and tinctorial cha... More about this image found in INFECTIVE ENDOCARDITIS The layered fibrin and associated inflammatory cell...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 20
Published: 01 September 2024
10.55418/9781933477435-17
ISBN-10: 1-933477-43-1
ISBN: 978-1-933477-43-5
..., spleen, and eyes Lesions are accompanied by fever, weight loss, abdominal pain, and organomegaly In immunosuppressed individuals (including AIDS) Other Systemic Bacteremia, myocarditis, endocarditis (“culture negative”), and neuroretinitis BARTONELLOSES Figure 17-2 BARTONELLOSES A,B: Skin lesion...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 20
Published: 01 September 2024
10.55418/9781933477435-23
ISBN-10: 1-933477-43-1
ISBN: 978-1-933477-43-5
... ). A nuclear compartment and opposite paler sacculus are identified in the organisms on higher magnification, particularly with a Giemsa stain ( fig. 23-6 ). Short hyphal forms may be seen in lesions of endocarditis ( fig. 23-7 ). Periodic acid-Schiff (PAS) and fungal silver stains (such as Grocott methenamine...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 20
Published: 01 September 2024
10.55418/9781933477435-22
ISBN-10: 1-933477-43-1
ISBN: 978-1-933477-43-5
... necrosis. In men, the prostate gland may also be infected. Candida endocarditis is usually seen in patients with underlying valvular pathology or prosthetic valves, in drug addicts, and in those with IV catheters. The symptomatology is similar to bacterial endocarditis. Myocarditis...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 20
Published: 01 September 2024
10.55418/9781933477435-12
ISBN-10: 1-933477-43-1
ISBN: 978-1-933477-43-5
... patients and indicates a poorer outcome. Systemic complications include septicemia, meningitis, brain abscess, pericarditis, endocarditis, peritonitis, septic arthritis, and osteomyelitis. Meningitis presents with an acute onset of severe headache, neck stiffness, high fever, and altered mental status...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 20
Published: 01 September 2024
10.55418/9781933477435-14
ISBN-10: 1-933477-43-1
ISBN: 978-1-933477-43-5
... surfaces (pleural effusion and spontaneous bacterial peritonitis), gastrointestinal and hepatopancreatobiliary tracts (enterocolitis, intestinal obstruction, granulomatous hepatitis, liver abscesses, and acute and chronic pancreatitis), and heart (endocarditis, myocarditis, and pericarditis), among others...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 20
Published: 01 September 2024
10.55418/9781933477435-11
ISBN-10: 1-933477-43-1
ISBN: 978-1-933477-43-5
..., headache, vomiting, meningeal irritation, cranial nerve abnormalities, and cerebellar dysfunction with ataxia Mortality approximately 50% Brain abscesses Rare Sepsis Adults Fever, chills, malaise, flu-like syndrome, and pyelonephritis Endocarditis is a complication that occurs...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 20
Published: 01 September 2024
10.55418/9781933477435-13
ISBN-10: 1-933477-43-1
ISBN: 978-1-933477-43-5
... with diarrhea, fever, and cough Uncommon and difficult to diagnose Most often involves heart valves (culture negative endocarditis) Other sites include CNS, eye, lymph nodes, and bone Rare, characterized by weight loss, diarrhea, and arthropathy Other systemic manifestations include fever, lymphadenopathy...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 17
Published: 15 November 2023
10.55418/9781933477299-ch12
ISBN-10: 1-933477-29-6
ISBN: 978-1-933477-29-9
...Table 12-1 RISK FACTORS FOR INFECTIVE ENDOCARDITIS Male sex Age >60 years Intravenous drug use Structural heart disease Poor dental hygiene Prosthetic cardiac device or leads Intravascular device Malignancy Immunosuppression Chronic hemodialysis Table 12-2...
Images
Published: 15 November 2023
LIBMAN-SACKS ENDOCARDITIS: ACUTE Figure 11-12 LIBMAN-SACKS ENDOCARDITIS: ACUTE Vegetations in Libman-Sacks endocarditis may be morphologically identical to those seen in nonbacterial thrombotic endocarditis. More about this image found in LIBMAN-SACKS ENDOCARDITIS: ACUTE Vegetations in Libman-Sacks endocarditis ...
Images
Published: 15 November 2023
INFECTIVE ENDOCARDITIS Figure 12-5 INFECTIVE ENDOCARDITIS Infective endocarditis affects structurally abnormal (congenitally bicuspid) aortic valves. Left: Active native valve endocarditis (NVE), with vegetation (black asterisk) and cusp perforation (yellow asterisk), is seen. Right: Healed NVE... More about this image found in INFECTIVE ENDOCARDITIS Infective endocarditis affects structurally abnorma...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 17
Published: 15 November 2023
10.55418/9781933477299-ch11
ISBN-10: 1-933477-29-6
ISBN: 978-1-933477-29-9
...NONBACTERIAL THROMBOTIC ENDOCARDITIS: MITRAL VALVE Figure 11-1 NONBACTERIAL THROMBOTIC ENDOCARDITIS: MITRAL VALVE Numerous vegetations are present along the atrial aspect of the mitral valve without causing overt gross injury to the valve in a patient with thrombotic thrombocytopenia purpura...
Images
Published: 15 November 2023
INFECTIVE ENDOCARDITIS: FUNGAL STAINING Figure 12-12 INFECTIVE ENDOCARDITIS: FUNGAL STAINING A: A silver stain highlights numerous black septate hyphae in this case of Aspergillus sp endocarditis. B: A periodic acid–Schiff (PAS) stain highlights numerous yeast forms and occasional septa in this case of Candida sp endocarditis. C: Histoplasma sp can also present as a dimorphic fungus in the cardiovascular system, with both yeast and hyphae identified by silver stain. More about this image found in INFECTIVE ENDOCARDITIS: FUNGAL STAINING A: A silver stain highlights numer...
Images
Published: 15 November 2023
LIBMAN-SACKS ENDOCARDITIS Figure 11-10 LIBMAN-SACKS ENDOCARDITIS Extension of the vegetations onto the tensor apparatus (yellow arrow) is common in Libman-Sacks endocarditis. More about this image found in LIBMAN-SACKS ENDOCARDITIS Extension of the vegetations onto the tensor app...
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