Clean up the warehouse and save lives through endocarditis mitral valve replacement

Be careful when cleaning the warehouse, it may lead to acute endocarditis due to accidental inhalation of Staphylococcus aureus! The mortality rate of acute endocarditis is as high as 60-80%. Although there are typical symptoms that can be diagnosed, there may be cases that are not like the symptoms of the disease at all, which are easy to be misdiagnosed as the common cold and miss the opportunity for rescue. Mr. Li, 58, was suspected of accidentally inhaling Staphylococcus aureus virus while cleaning the old warehouse, causing bacterial endocarditis. Fortunately, proper first aid saved our lives.

An unclean environment, such as a warehouse, hides a virus crisis. If you accidentally inhale Staphylococcus aureus virus, you will get endocarditis. (Photo/Huang) The patient suddenly developed bone pain, fever and general pain, and could not get up. In just one week, his condition worsened and he was taken to the hospital for emergency treatment. He was diagnosed with bacterial endocarditis, and antibiotic treatment has just begun. The patient actually suffered from heart failure, so he had to have a mitral valve replacement immediately to save his life.

Hou, director of the Department of Cardiology of Guotai Hospital, said that bacterial endocarditis is an infection of heart valve or endocardium caused by flora in the mouth, urinary tract or intestine, especially the elderly with low immunity, diabetic patients, patients over 50 and 60 years old, and patients who have just been indwelling catheter after heart surgery are also high-risk groups of infectious endocarditis; Bacteria can invade patients' blood through various surgical operations and dental tooth extraction operations, thus being infected; Bedsore or other ulcers can also cause infection.

In the past 35 years, Guotai Hospital has 8,000 happiness cases. Lin Zhiming (third from left), president of Guotai Hospital, led the cardiac surgery team and cut the cake with Teacher Li (second from right). (Figure/Huang) In the initial stage, antibiotics are usually used first. After the clinical symptoms and bacterial culture results came out, they were replaced with drugs effective for bacteria and continued to be treated for 4 ~ 6 weeks. But sometimes when the valve defect is serious, emergency surgery is often needed before antibiotic treatment, so the probability of sepsis, valve suture leakage and mortality is high. Fortunately, the heart team of Guotai Hospital provided excellent surgical techniques and nursing care, so no one died in the acute operation of bacterial endocarditis in 12 years.

Prevention of infective endocarditis;

1. Pay attention to oral hygiene and dental care.

2. To see any doctor, especially a dentist, you should first tell yourself whether you have a heart disease.

3. High-risk patients undergoing dental, oral or upper respiratory surgery, urogenital or gastrointestinal surgery (ventricular septal defect, congenital heart valve disease or artificial heart valve) should be given antibiotic prevention first.

4. Patients with infective endocarditis are easily mistaken for colds at first because their clinical manifestations are usually only fever. It is best to find a professional medical team for examination and treatment.

Mr. Li underwent endocarditis surgery in Guotai Hospital and became the 8000th happy patient in Guotai Hospital. He thanked the hospital medical team for saving his life. Under the leadership of Dean Lin Zhiming, Director Hou of Cardiology Department and the team of Cardiology Department, together with Mr. Li, the 8000th happy patient who underwent surgery for bacterial endocarditis, cut the cake and thanked the 8000 patients for their trust.