Rheumatic Endocarditis: Understanding, Symptoms and Treatment
Rheumatic endocarditis (ER) is a heart disease that is one of the complications of rheumatic fever. Rheumatic fever occurs as a result of untimely or inadequate treatment of upper respiratory tract infections caused by beta-hemolytic streptococcal infection. In rheumatic fever, the body's immune system attacks its own tissues, including the endocardium (the inner lining of the heart), leading to the development of rheumatic fever endocarditis.
Symptoms of rheumatic endocarditis can vary depending on the severity of the disease and the areas of the heart involved. However, some common symptoms include:
- Increased fatigue and weakness
- Fatigue during physical activity
- Joint pain
- Increased body temperature
- Shortness of breath and difficulty breathing
- Several symptoms common to acute rheumatic fever, such as joint inflammation, skin rashes and red eyes
The diagnosis of rheumatic endocarditis is usually based on the patient's clinical history as well as a physical examination. Additional tests may include electrocardiography (ECG), echocardiography (ultrasound of the heart), and blood tests to look for elevated levels of inflammatory markers.
Treatment of rheumatic endocarditis usually includes the following aspects:
- Antibiotic therapy: Patients are prescribed antibiotics to fight the infection and prevent the disease from recurring.
- Anti-inflammatory therapy: Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used to reduce inflammation and relieve symptoms.
- Treatment of associated symptoms: Depending on the patient's symptoms, medications may be prescribed to relieve joint pain, improve respiratory function, and relieve other manifestations of the disease.
- Regular monitoring: Patients with rheumatic endocarditis should regularly visit their doctor to monitor their heart condition and the effectiveness of treatment.
An important aspect in the management of rheumatic endocarditis is the prevention of recurrent episodes of the disease. People who have had rheumatic fever are advised to take preventative antibiotics before procedures that may pose a risk of infection, such as dental work or surgery.
In conclusion, rheumatic endocarditis is a serious condition that can affect the heart health and overall well-being of the patient. Seeing your doctor early when rheumatic fever symptoms appear and following treatment and prevention guidelines can help manage the disease and prevent complications.