n CME : Your SA Journal of CPD - Infectious diseases of the heart : main article

Volume 24, Issue 4
  • ISSN : 0256-2170



Sub-Saharan Africa is in the midst of three epidemics which predispose patients to infections of the heart. these epidemics are rheumatic heart disease, tuberculosis, and human immunodeficiency virus (HIV) infection. <BR>Patients with valvular heart disease (i.e. abnormal native or prosthetic valves), congenital heart disease, patches or conduits are at risk of developing infective endocarditis. <BR>Infective endocarditis is rarely an acute illness that requires immediate intervention. <BR>TB pericarditis presents in three forms: pericardial effusion, constrictive pericarditis, and effusive-constrictive pericarditis. <BR>Treatment of TB pericarditis is by means of standard four-drug antituberculosis chemotherapy for 6 months. <BR>The clinical effects of HIV on the heart are relatively uncommon, compared with the impact of HIV infection on the lungs, gastrointestinal tract, central nervous system and the skin. <BR>Pericardial effusion, as a result of TB pericarditis, is the major cardiovascular manifestation of HIV infection in people living in Sub-Saharan Africa.

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