n CME : Your SA Journal of CPD - Infectious diseases of the heart : main article
|Article Title||Infectious diseases of the heart : main article|
|© Publisher:||Health and Medical Publishing Group (HMPG)|
|Journal||CME : Your SA Journal of CPD|
|Author||Mpiko Ntsekhe and Bongani Mayosi|
|Publication Date||Apr 2006|
|Pages||189 - 193|
|Keyword(s)||Clinical presentation, Diagnosis, HIV / AIDS, Infectious diseases of the heart, Infective endocarditis, Sub-Saharan Africa, Treatment and Tuberculous pericarditis|
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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