The early symptom of pericarditis?

summary

Infective endocarditis refers to the invasion of pathogens into the blood flow, causing endocardial and arterial intimal inflammation. Pathogens are mostly bacteria, but also fungi, Rickettsia, viruses and so on. According to the severity of the disease, the disease is divided into acute infective endocarditis and subacute infective endocarditis. The early symptom of pericarditis? Let's talk about it

The early symptom of pericarditis?

Generally, the onset is slow, with only irregular fever at the beginning. The patient gradually feels tired, loss of appetite, weight loss, joint pain and pale complexion. The disease progressed slowly, embolic signs appeared a few days or weeks later, ecchymosis was mainly seen in the skin and mucosa, occasionally linear bleeding under the nails.

Pestle like fingers (toes) were found in patients with longer course of disease. In the heart, if the original murmur, its nature can be changed due to the vegetations of the heart valve, and become louder and coarser; If there is no original murmur, the murmur can appear at this time. The murmur is characterized by musical and changeable.

Depending on the location of the embolism, there are different clinical manifestations, which generally occur in the late course of the disease, but about 1 / 3 of the patients are the first symptoms. Scattered small ecchymosis can be seen in the skin embolism, and there can be raised purplish red nodules on the flexor surface of the fingers and toes with slight tenderness, which is called Osler's nodule; Visceral embolism can cause splenomegaly, abdominal pain, hematuria, hematochezia, sometimes splenomegaly is very significant; Pulmonary embolism may have chest pain, cough, hemoptysis and pulmonary rales; Cerebral embolism has headache, vomiting, hemiplegia, aphasia, convulsion and even coma. Pestle like fingers and toes can be seen in patients with long course of disease, but no cyanosis.

matters needing attention

Prophylactic use of antibiotics to reduce infective endocarditis, patients with heart valve disease or cardiovascular malformation and artificial valve should strengthen their physique, pay attention to health, and remove the infected focus in time.