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Pharmacological Approaches to Managing Endocarditis: A Comprehensive Overview

Muralinath E., Jayinder Paul Singh G., Pradip Kumar Das, Kinsuk Das S., Kalyan C., Archana Jain, Guruprasad M.

Abstract


Endocarditis, a potentially A potentially fatal inflammation of the heart's inner lining presents significant challenges, especially in terms of diagnosis and treatment. Along with surgical interventions and anti microbial therapy, many types of drugs play important roles especially in managing endocarditis. Antibiotics such as aminoglycosides, cephalosporins and penicillin stop bacterial growth and help in the resolution of the infection. Anti fungal drugs namely amphotericin B and fluconazole disrupt the fungal cell membrane or stop essential cellular processes, providing an effective means of combating fungal endocarditis. In a very few cases, particularly if endocarditis is associated with complex deposition or a vasculitic component, immunoglobulin therapy may be taken into consideration. Intravenous immunoglobulins (IVIG) have the ability to alter the immune response, which may reduce inflammation and improve results, especially in specific situations. Mon steroidal anti_ inflammatory drugs (NSAIDs) and corticosteroids may be used as an adjunctive therapy regarding management of the inflammatory responses associated with endocarditis. Endocarditis can result in heart failure, necessitating the use of drugs namely angiotensin_ converting enzyme (ACE) inhibitors, Bera _ blockers and diuretics. Thesecm medications aim to optimize Cardiac function, decrease afterload and manage fluid balance, contributing to overall patient stabilization. Finally it is concluded that a multidisciplinary approach involving antibiotics, anti fungal, immunoglobulin, anti_ inflammatory agents and heart failure medications is responsible for managing endocarditis in an effective manner.


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References


Rogolevich, V. V., Glushkova, T. V., Ponasenko, A. V., & Ovcharenko, E. A. (2019). Infective endocarditis causing native and prosthetic heart valve dysfunction. Kardiologiia, 59(3), 68-77.

Jillella, D. V., & Wisco, D. R. (2019). Infectious causes of stroke. Current opinion in infectious diseases, 32(3), 285-292.

Sotero, F. D., Rosário, M., Fonseca, A. C., & Ferro, J. M. (2019). Neurological complications of infective endocarditis. Current Neurology and Neuroscience Reports, 19, 1-8.4.

Elbatarny, M., Bahji, A., Bisleri, G., & Hamilton, A. (2019). Management of endocarditis among persons who inject drugs: A narrative review of surgical and psychiatric approaches and controversies. General Hospital Psychiatry, 57, 44-49.

Elagha, A., & Mohsen, A. (2019). Cardiac MRI clinches diagnosis of Libman-Sacks endocarditis. The Lancet, 393(10182), e39.

Bekker, T., Govind, A., & Weber, D. M. (2019). A case of polymicrobial, gram-negative pulmonic valve endocarditis. Case Reports in Infectious Diseases, 2019.

McCann, M., Gorman, M., & McKeown, B. (2019). No Fever, No Murmur, No Problem? A Concealed Case of Infective Endocarditis. The Journal of Emergency Medicine, 57(2), e45-e48.

Garg, P., Ko, D. T., Bray Jenkyn, K. M., Li, L., & Shariff, S. Z. (2019). Infective endocarditis hospitalizations and antibiotic prophylaxis rates before and after the 2007 American Heart Association guidelinerevision. Circulation, 140(3), 170-180.

Borger, P., Charles, E. J., Smith, E. D., Mehaffey, J. H., Hawkins, R. B., Kron, I. L., ... & Teman, N. (2019). Determining which prosthetic to use during aortic valve replacement in patients aged younger than 70 years: a systematic review of the literature. In The heart surgery forum (Vol. 22, No. 2, pp. E070-E081).

Bamford, P., Soni, R., Bassin, L., & Kull, A. (2019). Delayed diagnosis of right-sided valve endocarditis causing recurrent pulmonary abscesses: a case report. Journal of Medical Case Reports, 13, 1-4.

Galar, A., Weil, A. A., Dudzinski, D. M., Muñoz, P., & Siedner, M. J. (2019). Methicillin-resistant Staphylococcus aureus prosthetic valve endocarditis: pathophysiology, epidemiology, clinical presentation, diagnosis, and management. Clinical microbiology reviews, 32(2), 10-1128.

Martínez, P. A., Guerrero, M., Santos, J. E., Hernandez, M. S., & Mercado, M. C. (2018). Pediatric clinical experience in infectious endocarditis due to Candida spp. Revista Chilena de Infectologia: Organo Oficial de la Sociedad Chilena de Infectologia, 35(5), 553-559.

Samaroo-Campbell, J., Hashmi, A., Thawani, R., Moskovits, M., Zadushlivy, D., & Kamholz, S. L. (2019). Isolated pulmonic valve endocarditis. The American Journal of Case Reports, 20, 151.

Anguita, P., Anguita, M., Castillo, J. C., Gámez, P., Bonilla, V., & Herrera, M. (2018). Are dentists in our environment correctly following the recommended guidelines for prophylaxis of infective endocarditis?. Revista Espanola de Cardiologia (English ed.), 72(1), 86-88.

Keller K, Hobohm L, Munzel T, Ostad MA. (2019). Incidence of infective endocarditis before and after the guideline modification regarding a more restrictive use of prophylactic antibiotics therapy in the USA and Europe. Minerva Cardioangiol. 67(3), 200-206.


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