{"id":883,"date":"2025-05-27T18:49:19","date_gmt":"2025-05-27T15:49:19","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/infektsionnyy-endokardit\/"},"modified":"2026-04-24T12:40:36","modified_gmt":"2026-04-24T09:40:36","slug":"endocardite-infecciosa","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/pt\/doencas\/cardiologia\/endocardite-infecciosa\/","title":{"rendered":"Endocardite infecciosa: Etiologia, patog\u00e9nese, classifica\u00e7\u00e3o, diagn\u00f3stico, m\u00e9todos de tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>\u0418\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 (\u0418\u042d) \u2014 \u044d\u0442\u043e \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b\u044c\u043d\u043e \u0436\u0438\u0437\u043d\u0435\u0443\u0433\u0440\u043e\u0436\u0430\u044e\u0449\u0435\u0435 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\u043c\u0435\u0442\u043e\u0434\u043e\u0432 \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438, \u043f\u0440\u043e\u0446\u0435\u043d\u0442 \u0441\u043c\u0435\u0440\u0442\u043d\u043e\u0441\u0442\u0438 \u043e\u0442 \u043e\u0431\u0449\u0435\u0433\u043e \u0447\u0438\u0441\u043b\u0430 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0448\u0438\u0445 \u043e\u0441\u0442\u0430\u0435\u0442\u0441\u044f \u0432\u044b\u0441\u043e\u043a\u0438\u043c.<\/p>\n<div class=\"videos-carousel-block\">\n<div class=\"swiper video-carousel-swiper video-carousel-swiper-block_69f1b9e24fc18\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/1-Infective%20endocarditis%20of%20the%20left%20heart%20(61)%20BG%2BPlashki%2BLogo%2Bsound_1.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 \u043b\u0435\u0432\u044b\u0445 \u043e\u0442\u0434\u0435\u043b\u043e\u0432 \u0441\u0435\u0440\u0434\u0446\u0430<\/span><\/div>\n<div class=\"swiper-slide\"><video controls class=\"carousel-video\"><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/2-Infective%20endocarditis%20of%20the%20right%20heart%20(62)%20BG%2BPlashki%2BLogo%2BSound_1.webm\" type=\"video\/webm\"><\/source><\/video><span class=\"small-text-article text-main-text-color\">3D-\u0430\u043d\u0438\u043c\u0430\u0446\u0438\u044f \u2013 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 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33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 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24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const videosCarouselSwiper = new Swiper('.video-carousel-swiper-block_69f1b9e24fc18', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_69f1b9e24fc18',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_69f1b9e24fc18',\n                prevEl: '.video-carousel-swiper-button-prev-block_69f1b9e24fc18',\n            },\n            on: {\n                slideChangeTransitionStart: function () {\n                    const videos = this.el.querySelectorAll('video');\n                    videos.forEach(video => {\n                        if 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\u043f\u0440\u0438\u0445\u043e\u0434\u0438\u0442\u0441\u044f \u043d\u0430 \u043b\u0438\u0446 \u0441\u0442\u0430\u0440\u0448\u0435 60 \u043b\u0435\u0442, \u0447\u0442\u043e \u0441\u0432\u044f\u0437\u0430\u043d\u043e \u0441 \u043d\u0430\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u0435\u043c \u0444\u0430\u043a\u0442\u043e\u0440\u043e\u0432 \u0440\u0438\u0441\u043a\u0430, \u0442\u0430\u043a\u0438\u0445 \u043a\u0430\u043a \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u0442\u0435\u0437\u044b, \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u044b\u0435 \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u044b, \u0445\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f \u0438 \u0447\u0430\u0441\u0442\u044b\u0435 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0435 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0430. \u041c\u0443\u0436\u0447\u0438\u043d\u044b \u0431\u043e\u043b\u0435\u044e\u0442 \u043f\u0440\u0438\u043c\u0435\u0440\u043d\u043e \u0432 2 \u0440\u0430\u0437\u0430 \u0447\u0430\u0449\u0435, \u0447\u0435\u043c \u0436\u0435\u043d\u0449\u0438\u043d\u044b.<\/p>\n<p>\u0412 \u043f\u043e\u0441\u043b\u0435\u0434\u043d\u0438\u0435 \u0434\u0435\u0441\u044f\u0442\u0438\u043b\u0435\u0442\u0438\u044f \u043f\u0440\u043e\u0438\u0437\u043e\u0448\u0435\u043b \u0441\u0434\u0432\u0438\u0433 \u0432 \u044d\u043f\u0438\u0434\u0435\u043c\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u043c \u043f\u0440\u043e\u0444\u0438\u043b\u0435: \u0432\u043c\u0435\u0441\u0442\u043e \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0441 \u0440\u0435\u0432\u043c\u0430\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u043f\u043e\u0440\u043e\u043a\u0430\u043c\u0438 \u0441\u0435\u0440\u0434\u0446\u0430 \u0438 \u043b\u0438\u0446, \u0443\u043f\u043e\u0442\u0440\u0435\u0431\u043b\u044f\u044e\u0449\u0438\u0445 \u0432\u043d\u0443\u0442\u0440\u0438\u0432\u0435\u043d\u043d\u044b\u0435 \u043d\u0430\u0440\u043a\u043e\u0442\u0438\u043a\u0438, \u0442\u0435\u043f\u0435\u0440\u044c \u043f\u0440\u0435\u043e\u0431\u043b\u0430\u0434\u0430\u044e\u0442 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u044b \u043f\u043e\u0436\u0438\u043b\u043e\u0433\u043e \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430, \u0447\u0430\u0441\u0442\u043e \u0441 \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u043c\u0438 \u043a\u043b\u0430\u043f\u0430\u043d\u0430\u043c\u0438, \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u043c\u0438 \u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0442\u043e\u0440\u0430\u043c\u0438.<\/p>\n<h2 class=\"wp-block-heading\" id=\"a-etiologia\">A etiologia<\/h2>\n<p>\u041f\u0440\u0438\u0447\u0438\u043d\u043e\u0439 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u044f \u0418\u042d \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u0440\u0430\u0437\u043b\u0438\u0447\u043d\u044b\u0435 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u044b.<\/p>\n<ul class=\"wp-block-list\">\n<li><em>O Staphylococcus aureus \u00e9 o l\u00edder em termos de frequ\u00eancia, especialmente na EI adquirida em hospitais<\/em> e em toxicodependentes.<\/li>\n<li><em>Streptococcus viridans<\/em> \u2014 \u043a\u043b\u0430\u0441\u0441\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u0438 \u043f\u0440\u0438 \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0438 \u043d\u0430\u0442\u0438\u0432\u043d\u044b\u0445 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432 \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0431\u0435\u0437 \u043e\u0447\u0435\u0432\u0438\u0434\u043d\u044b\u0445 \u0444\u0430\u043a\u0442\u043e\u0440\u043e\u0432 \u0440\u0438\u0441\u043a\u0430.<\/li>\n<li><em>Enterococcus spp.<\/em> \u2013 significativa em doentes idosos, frequentemente associada a interven\u00e7\u00f5es urogenitais.<\/li>\n<li>Os estafilococos coagulase-negativos s\u00e3o agentes causais frequentes em infec\u00e7\u00f5es de v\u00e1lvulas prot\u00e9sicas.<\/li>\n<li>HACEK-\u0433\u0440\u0443\u043f\u043f\u0430, \u0433\u0440\u0438\u0431\u044b, \u0433\u0440\u0430\u043c\u043e\u0442\u0440\u0438\u0446\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u043f\u0430\u043b\u043e\u0447\u043a\u0438 \u0438 \u0434\u0440\u0443\u0433\u0438\u0435 \u2014 \u0432\u0441\u0442\u0440\u0435\u0447\u0430\u044e\u0442\u0441\u044f \u0440\u0435\u0436\u0435<\/li>\n<\/ul>\n<p>Os factores de risco incluem a presen\u00e7a de v\u00e1lvulas artificiais, pacemakers, EI anterior, defeitos card\u00edacos, uso de drogas intravenosas e hemodi\u00e1lise cr\u00f3nica.<\/p>\n<h2 class=\"wp-block-heading\" id=\"patogenese\">Patog\u00e9nese<\/h2>\n<p>A patog\u00e9nese da endocardite infecciosa envolve v\u00e1rias liga\u00e7\u00f5es consecutivas:<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>\u041f\u043e\u0432\u0440\u0435\u0436\u0434\u0435\u043d\u0438\u0435 \u044d\u043d\u0434\u043e\u0442\u0435\u043b\u0438\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432<\/strong> (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u043f\u0440\u0438 \u0442\u0443\u0440\u0431\u0443\u043b\u0435\u043d\u0442\u043d\u043e\u043c \u043a\u0440\u043e\u0432\u043e\u0442\u043e\u043a\u0435) \u2192 \u044d\u043a\u0441\u043f\u043e\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0432\u043d\u0435\u043a\u043b\u0435\u0442\u043e\u0447\u043d\u043e\u0433\u043e \u043c\u0430\u0442\u0440\u0438\u043a\u0441\u0430.<\/li>\n<li><strong>\u0410\u0434\u0433\u0435\u0437\u0438\u044f \u0442\u0440\u043e\u043c\u0431\u043e\u0446\u0438\u0442\u043e\u0432 \u0438 \u0444\u0438\u0431\u0440\u0438\u043d\u0430<\/strong> \u2192 \u0444\u043e\u0440\u043c\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435 \u0441\u0442\u0435\u0440\u0438\u043b\u044c\u043d\u043e\u0433\u043e \u0442\u0440\u043e\u043c\u0431\u0430 (\u043d\u0435\u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u044b\u0439 \u0442\u0440\u043e\u043c\u0431\u043e\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442).<\/li>\n<li><strong>\u041c\u0438\u043a\u0440\u043e\u0431\u043d\u0430\u044f \u0438\u043d\u0432\u0430\u0437\u0438\u044f<\/strong> \u2014 \u043f\u0440\u0438 \u0442\u0440\u0430\u043d\u0437\u0438\u0442\u043e\u0440\u043d\u043e\u0439 \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0435\u043c\u0438\u0438 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u044b \u043a\u043e\u043b\u043e\u043d\u0438\u0437\u0438\u0440\u0443\u044e\u0442 \u0442\u0440\u043e\u043c\u0431.<\/li>\n<li><strong>\u041e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0435 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0439<\/strong> \u2014 \u043f\u043b\u043e\u0442\u043d\u044b\u0435 \u0441\u043a\u043e\u043f\u043b\u0435\u043d\u0438\u044f \u0444\u0438\u0431\u0440\u0438\u043d\u0430, \u043a\u043b\u0435\u0442\u043e\u043a \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u044f \u0438 \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0439, \u0437\u0430\u0449\u0438\u0449\u0435\u043d\u043d\u044b\u0435 \u043e\u0442 \u0438\u043c\u043c\u0443\u043d\u043d\u043e\u0433\u043e \u043e\u0442\u0432\u0435\u0442\u0430 \u0438 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0432.<\/li>\n<li><strong>\u0414\u0435\u0441\u0442\u0440\u0443\u043a\u0446\u0438\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u044b\u0445 \u0441\u0442\u0440\u0443\u043a\u0442\u0443\u0440 \u0438 \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u0430\u044f \u044d\u043c\u0431\u043e\u043b\u0438\u0437\u0430\u0446\u0438\u044f<\/strong> \u2192 \u0441\u0438\u0441\u0442\u0435\u043c\u043d\u044b\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f, \u0441\u0435\u043f\u0441\u0438\u0441, \u043e\u0441\u0442\u0440\u0430\u044f \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u0430\u044f \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c.\u00a0<\/li>\n<\/ol>\n<p>\u0418\u043c\u043c\u0443\u043d\u043d\u044b\u0435 \u043c\u0435\u0445\u0430\u043d\u0438\u0437\u043c\u044b \u0442\u0430\u043a\u0436\u0435 \u0432\u043d\u043e\u0441\u044f\u0442 \u0432\u043a\u043b\u0430\u0434 \u0432 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u0439, \u0442\u0430\u043a\u0438\u0445 \u043a\u0430\u043a \u0432\u0430\u0441\u043a\u0443\u043b\u0438\u0442\u044b \u0438 \u0433\u043b\u043e\u043c\u0435\u0440\u0443\u043b\u043e\u043d\u0435\u0444\u0440\u0438\u0442\u044b.<\/p>\n<p>O passo fundamental \u00e9 a forma\u00e7\u00e3o de vegeta\u00e7\u00f5es que promovem a persist\u00eancia da infe\u00e7\u00e3o e o desenvolvimento de complica\u00e7\u00f5es emb\u00f3licas.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/1-Vegetations_on_the_mitral_valve.webp\" alt=\"Vegeta\u00e7\u00f5es na v\u00e1lvula mitral\"><figcaption class=\"wp-element-caption\">Vegeta\u00e7\u00f5es na v\u00e1lvula mitral<\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/2-Perforation_of_the_tricuspid_valve_leaflet.webp\" alt=\"Perfura\u00e7\u00e3o do folheto da v\u00e1lvula tric\u00faspide\"><figcaption class=\"wp-element-caption\">Perfura\u00e7\u00e3o do folheto da v\u00e1lvula tric\u00faspide<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"classificacao-da-endocardite-infecciosa\">Classifica\u00e7\u00e3o da endocardite infecciosa<\/h2>\n<figure class=\"wp-block-table table-to-cards\">\n<table class=\"has-fixed-layout\">\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>\u041f\u043e \u043b\u043e\u043a\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438 \u043f\u0440\u043e\u0446\u0435\u0441\u0441\u0430<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041b\u0435\u0432\u043e\u0441\u0442\u043e\u0440\u043e\u043d\u043d\u0438\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Les\u00e3o da v\u00e1lvula mitral e\/ou a\u00f3rtica (mais comum)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite do lado direito<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0435 \u0442\u0440\u0438\u043a\u0443\u0441\u043f\u0438\u0434\u0430\u043b\u044c\u043d\u043e\u0433\u043e \u0438\/\u0438\u043b\u0438 (\u0440\u0435\u0436\u0435) \u043b\u0435\u0433\u043e\u0447\u043d\u043e\u0433\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u0430 (\u0447\u0430\u0449\u0435 \u0443 \u043f\u043e\u0442\u0440\u0435\u0431\u0438\u0442\u0435\u043b\u0435\u0439 \u0438\u043d\u044a\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0445 \u043d\u0430\u0440\u043a\u043e\u0442\u0438\u043a\u043e\u0432, \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0441 \u0446\u0435\u043d\u0442\u0440\u0430\u043b\u044c\u043d\u044b\u043c \u0432\u0435\u043d\u043e\u0437\u043d\u044b\u043c \u043a\u0430\u0442\u0435\u0442\u0435\u0440\u043e\u043c)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041a\u043e\u043c\u0431\u0438\u043d\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Les\u00f5es simult\u00e2neas das divis\u00f5es direita e esquerda<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite prot\u00e9sica<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Inflama\u00e7\u00e3o numa pr\u00f3tese valvular mec\u00e2nica ou biol\u00f3gica<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite dos dispositivos<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0418\u043d\u0444\u0435\u043a\u0446\u0438\u044f, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u0430\u044f \u0441 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u0434\u0430\u043c\u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0442\u043e\u0440\u043e\u0432, \u0438\u043c\u043f\u043b\u0430\u043d\u0442\u0438\u0440\u0443\u0435\u043c\u044b\u0445 \u043a\u0430\u0440\u0434\u0438\u043e\u0432\u0435\u0440\u0442\u0435\u0440\u043e\u0432-\u0434\u0435\u0444\u0438\u0431\u0440\u0438\u043b\u043b\u044f\u0442\u043e\u0440\u043e\u0432 \u0438 \u0442.\u0434.<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>\u041f\u043e \u044d\u0442\u0438\u043e\u043b\u043e\u0433\u0438\u0438 (\u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u044e)<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0413\u0440\u0430\u043c\u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u043a\u043e\u043a\u043a\u0438<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Staphylococcus aureus<\/em>, estafilococos coagulase-negativos, <em>Streptococcus viridans<\/em>, <em>Enterococcus spp.<\/em><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Bact\u00e9rias Gram-negativas<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Grupo HACEK, outras Enterobacteriaceae<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0410\u0442\u0438\u043f\u0438\u0447\u043d\u044b\u0435 \/ \u043e\u0431\u043b\u0438\u0433\u0430\u0442\u043d\u043e \u0432\u043d\u0443\u0442\u0440\u0438\u043a\u043b\u0435\u0442\u043e\u0447\u043d\u044b\u0435<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Coxiella burnetii<\/em>, <em>Bartonella spp.<\/em>, <em>Tropheryma whipplei<\/em><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Cogumelos<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Candida spp<\/em>., <em>Aspergillus spp.<\/em> (raro, mais comum em pessoas imunocomprometidas)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>\u041f\u043e \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u043e\u043c\u0443 \u0442\u0435\u0447\u0435\u043d\u0438\u044e<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041e\u0441\u0442\u0440\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041d\u0430\u0447\u0430\u043b\u043e: \u0432\u043d\u0435\u0437\u0430\u043f\u043d\u043e\u0435<br \/>\u0422\u0435\u0447\u0435\u043d\u0438\u0435: \u0431\u044b\u0441\u0442\u0440\u043e\u0435, \u0430\u0433\u0440\u0435\u0441\u0441\u0438\u0432\u043d\u043e\u0435<br \/>\u041f\u0430\u0442\u043e\u0433\u0435\u043d\u044b (\u0447\u0430\u0449\u0435): <em>Staphylococcus aureus<\/em>, \u03b2-\u0433\u0435\u043c\u043e\u043b\u0438\u0442\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0441\u0442\u0440\u0435\u043f\u0442\u043e\u043a\u043e\u043a\u043a\u0438<br \/>\u041e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438: \u0431\u044b\u0441\u0442\u0440\u043e\u0435 \u0440\u0430\u0437\u0440\u0443\u0448\u0435\u043d\u0438\u0435 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u0441\u0435\u043f\u0441\u0438\u0441, \u0432\u044b\u0441\u043e\u043a\u0430\u044f \u0441\u043c\u0435\u0440\u0442\u043d\u043e\u0441\u0442\u044c<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041f\u043e\u0434\u043e\u0441\u0442\u0440\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041d\u0430\u0447\u0430\u043b\u043e: \u043f\u043e\u0441\u0442\u0435\u043f\u0435\u043d\u043d\u043e\u0435 (\u043d\u0435\u0434\u0435\u043b\u0438)<br \/>\u0422\u0435\u0447\u0435\u043d\u0438\u0435: \u0432\u044f\u043b\u043e\u0435, \u0441 \u043d\u0435\u044f\u0441\u043d\u043e\u0439 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u043e\u0439<br \/>\u041f\u0430\u0442\u043e\u0433\u0435\u043d\u044b (\u0447\u0430\u0449\u0435): <em>Streptococcus viridans<\/em>, <em>Enterococcus spp<\/em>. <br \/>\u041e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438: \u0430\u043d\u0435\u043c\u0438\u044f, \u0441\u0443\u0431\u0444\u0435\u0431\u0440\u0438\u043b\u0438\u0442\u0435\u0442, \u0438\u043c\u043c\u0443\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">\u0425\u0440\u043e\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">\u041d\u0430\u0447\u0430\u043b\u043e: \u0434\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 (\u043c\u0435\u0441\u044f\u0446\u044b)<br \/>\u0422\u0435\u0447\u0435\u043d\u0438\u0435: \u0441\u043a\u0440\u044b\u0442\u043e\u0435 \u0438\u043b\u0438 \u0440\u0435\u0446\u0438\u0434\u0438\u0432\u0438\u0440\u0443\u044e\u0449\u0435\u0435<br \/>\u041f\u0430\u0442\u043e\u0433\u0435\u043d\u044b (\u0447\u0430\u0449\u0435): \u043d\u0438\u0437\u043a\u043e\u0432\u0438\u0440\u0443\u043b\u0435\u043d\u0442\u043d\u044b\u0435 \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0438, \u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430-\u043e\u0442\u0440\u0438\u0446\u0430\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u0444\u043e\u0440\u043c\u044b<br \/>\u041e\u0441\u043e\u0431\u0435\u043d\u043d\u043e\u0441\u0442\u0438: \u0437\u0430\u0442\u044f\u0436\u043d\u043e\u0435 \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u0435, \u0441\u0442\u043e\u0439\u043a\u0438\u0435 \u0438\u0437\u043c\u0435\u043d\u0435\u043d\u0438\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u0432\u043e\u0437\u043c\u043e\u0436\u0435\u043d \u0440\u0435\u0446\u0438\u0434\u0438\u0432 \u043f\u043e\u0441\u043b\u0435 \u0442\u0435\u0440\u0430\u043f\u0438\u0438<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/3-Infective_endocarditis_of_the_left_ventricles_(vegetations_on_the_valves-and_mitro-aortic_junction).webp\" alt=\"Endocardite infecciosa esquerda (vegeta\u00e7\u00f5es nas v\u00e1lvulas e na jun\u00e7\u00e3o mitro-a\u00f3rtica)\"><figcaption class=\"wp-element-caption\">Endocardite infecciosa esquerda (vegeta\u00e7\u00f5es nas v\u00e1lvulas e jun\u00e7\u00e3o mitro-a\u00f3rtica) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/d1df170c-51ef-4d23-93b5-0380d03866e5\/982d1394-9046-49c1-a896-2da7012969bf\/7546a2f1-29a9-499f-b40d-862a113b087e\/088c7cec-04a4-48ca-a769-a9fe47ff8aa1\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/Acquired%20Heart%20Diseases\/Infective%20endocarditis\/4-Infective_endocarditis_of_the_right_(vegetations_and_perforation_on_the_tricuspid_valve).webp\" alt=\"Endocardite infecciosa do lado direito (vegeta\u00e7\u00f5es e perfura\u00e7\u00f5es na v\u00e1lvula tric\u00faspide)\"><figcaption class=\"wp-element-caption\">Endocardite infecciosa do lado direito (vegeta\u00e7\u00f5es e perfura\u00e7\u00e3o na v\u00e1lvula tric\u00faspide) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/d1df170c-51ef-4d23-93b5-0380d03866e5\/982d1394-9046-49c1-a896-2da7012969bf\/7546a2f1-29a9-499f-b40d-862a113b087e\/68b9782f-6c85-4ffa-812f-7f53628e0416\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"manifestacoes-clinicas\">Manifesta\u00e7\u00f5es cl\u00ednicas<\/h2>\n<p>\u0421\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u0430 \u0418\u042d \u0432\u0430\u0440\u0438\u0430\u0431\u0435\u043b\u044c\u043d\u0430 \u0438 \u043c\u043e\u0436\u0435\u0442 \u0432\u043a\u043b\u044e\u0447\u0430\u0442\u044c \u043a\u0430\u043a \u043d\u0435\u0441\u043f\u0435\u0446\u0438\u0444\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b, \u0442\u0430\u043a \u0438 \u0436\u0438\u0437\u043d\u0435\u0443\u0433\u0440\u043e\u0436\u0430\u044e\u0449\u0438\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u044f.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>\u041e\u0431\u0449\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u044b<\/strong>: \u043b\u0438\u0445\u043e\u0440\u0430\u0434\u043a\u0430, \u043f\u043e\u0442\u043b\u0438\u0432\u043e\u0441\u0442\u044c, \u0443\u0442\u043e\u043c\u043b\u044f\u0435\u043c\u043e\u0441\u0442\u044c, \u043f\u043e\u0445\u0443\u0434\u0430\u043d\u0438\u0435.<\/li>\n<li><strong>\u0421\u0435\u0440\u0434\u0435\u0447\u043d\u044b\u0435 \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u0438<\/strong>: \u043d\u043e\u0432\u044b\u0439 \u0438\u043b\u0438 \u0438\u0437\u043c\u0435\u043d\u0435\u043d\u043d\u044b\u0439 \u0448\u0443\u043c, \u043f\u0440\u0438\u0437\u043d\u0430\u043a\u0438 \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438.<\/li>\n<li><strong>\u042d\u043c\u0431\u043e\u043b\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f<\/strong>: \u0438\u043d\u0441\u0443\u043b\u044c\u0442, \u0438\u0448\u0435\u043c\u0438\u044f \u043a\u043e\u043d\u0435\u0447\u043d\u043e\u0441\u0442\u0435\u0439, \u0438\u043d\u0444\u0430\u0440\u043a\u0442\u044b \u0432\u043d\u0443\u0442\u0440\u0435\u043d\u043d\u0438\u0445 \u043e\u0440\u0433\u0430\u043d\u043e\u0432.<\/li>\n<li><strong>\u0418\u043c\u043c\u0443\u043d\u043d\u044b\u0435 \u043f\u0440\u043e\u044f\u0432\u043b\u0435\u043d\u0438\u044f<\/strong>: \u043f\u0443\u0440\u043f\u0443\u0440\u0430, \u0443\u0437\u0435\u043b\u043a\u0438 \u041e\u0441\u043b\u0435\u0440\u0430, \u043f\u044f\u0442\u043d\u0430 \u0414\u0436\u0435\u0439\u043d\u0443\u044d\u044f, \u0433\u043b\u043e\u043c\u0435\u0440\u0443\u043b\u043e\u043d\u0435\u0444\u0440\u0438\u0442.<\/li>\n<li><strong>\u041f\u043e\u0440\u0430\u0436\u0435\u043d\u0438\u0435 \u043f\u0440\u043e\u0432\u043e\u0434\u044f\u0449\u0435\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u044b<\/strong>: \u0431\u043b\u043e\u043a\u0430\u0434\u044b, \u0430\u0440\u0438\u0442\u043c\u0438\u0438.<\/li>\n<li><strong>\u041f\u0440\u0438 \u0442\u044f\u0436\u0435\u043b\u043e\u043c \u0442\u0435\u0447\u0435\u043d\u0438\u0438 \u0418\u042d<\/strong> \u0432\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0441\u0435\u043f\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0433\u043e \u0448\u043e\u043a\u0430 \u0438 \u043f\u043e\u043b\u0438\u043e\u0440\u0433\u0430\u043d\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438.<\/li>\n<li><strong>\u041f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435<\/strong> \u0430\u0443\u0441\u043a\u0443\u043b\u044c\u0442\u0430\u0442\u0438\u0432\u043d\u044b\u0435 \u0448\u0443\u043c\u044b \u043c\u043e\u0433\u0443\u0442 \u0431\u044b\u0442\u044c \u043c\u0435\u043d\u0435\u0435 \u0432\u044b\u0440\u0430\u0436\u0435\u043d\u044b, \u0447\u0430\u0449\u0435 \u0440\u0430\u0437\u0432\u0438\u0432\u0430\u0435\u0442\u0441\u044f \u043f\u0435\u0440\u0438\u0430\u043d\u043d\u0443\u043b\u044f\u0440\u043d\u0430\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044f \u2014 \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u044b, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u044b, \u0444\u0438\u0441\u0442\u0443\u043b\u044b.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"diagnostico-de-endocardite-infecciosa\">Diagn\u00f3stico de endocardite infecciosa<\/h2>\n<h3 class=\"wp-block-heading\" id=\"metodos-laboratoriais\">M\u00e9todos laboratoriais:<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>\u041e\u0431\u0449\u0438\u0439 \u0430\u043d\u0430\u043b\u0438\u0437 \u043a\u0440\u043e\u0432\u0438: <\/strong>\u0430\u043d\u0435\u043c\u0438\u044f \u043d\u043e\u0440\u043c\u043e\u0446\u0438\u0442\u0430\u0440\u043d\u0430\u044f, \u043b\u0435\u0439\u043a\u043e\u0446\u0438\u0442\u043e\u0437, \u0442\u0440\u043e\u043c\u0431\u043e\u0446\u0438\u0442\u043e\u043f\u0435\u043d\u0438\u044f.<\/li>\n<li><strong>\u0421\u041e\u042d, CRP<\/strong>: \u0437\u043d\u0430\u0447\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0435 \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435.<\/li>\n<li><strong>\u041f\u0440\u043e\u043a\u0430\u043b\u044c\u0446\u0438\u0442\u043e\u043d\u0438\u043d<\/strong>: \u043c\u043e\u0436\u0435\u0442 \u0431\u044b\u0442\u044c \u0443\u043c\u0435\u0440\u0435\u043d\u043d\u043e \u043f\u043e\u0432\u044b\u0448\u0435\u043d.<\/li>\n<li><strong>\u041f\u043e\u0447\u0435\u0447\u043d\u044b\u0435 \u043f\u043e\u043a\u0430\u0437\u0430\u0442\u0435\u043b\u0438<\/strong>: \u043f\u043e\u0432\u044b\u0448\u0435\u043d\u0438\u0435 \u043a\u0440\u0435\u0430\u0442\u0438\u043d\u0438\u043d\u0430 (\u0433\u043b\u043e\u043c\u0435\u0440\u0443\u043b\u043e\u043d\u0435\u0444\u0440\u0438\u0442, \u044d\u043c\u0431\u043e\u043b\u0438\u044f).<\/li>\n<li><strong>\u0413\u0435\u043c\u043e\u043a\u0443\u043b\u044c\u0442\u0443\u0440\u044b<\/strong>: \u043d\u0435 \u043c\u0435\u043d\u0435\u0435 \u0442\u0440\u0435\u0445 \u043f\u0440\u043e\u0431 \u0441 \u0438\u043d\u0442\u0435\u0440\u0432\u0430\u043b\u043e\u043c \u043d\u0435 \u043c\u0435\u043d\u0435\u0435 30 \u043c\u0438\u043d \u0434\u043e \u043d\u0430\u0447\u0430\u043b\u0430 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0432 (\u0434\u043e 95 % \u0447\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u0438).<\/li>\n<li><strong>\u0421\u0435\u0440\u043e\u043b\u043e\u0433\u0438\u044f\/\u041f\u0426\u0420<\/strong>: \u043f\u0440\u0438 \u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430-\u043e\u0442\u0440\u0438\u0446\u0430\u0442\u0435\u043b\u044c\u043d\u043e\u043c \u0418\u042d (<em>Bartonella<\/em>, <em>Coxiella<\/em>, <em>Brucella<\/em> \u0438 \u0434\u0440.).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"metodos-instrumentais\">M\u00e9todos instrumentais:<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>\u042d\u0445\u043e\u041a\u0413 <\/strong>(\u0447\u0440\u0435\u0441\u043f\u0438\u0449\u0435\u0432\u043e\u0434\u043d\u0430\u044f \u042d\u0445\u043e\u041a\u0413 \u043f\u0440\u0435\u0434\u043f\u043e\u0447\u0442\u0438\u0442\u0435\u043b\u044c\u043d\u0435\u0435, \u0447\u0435\u043c \u0442\u0440\u0430\u043d\u0441\u0442\u043e\u0440\u0430\u043a\u0430\u043b\u044c\u043d\u0430\u044f): \u0432\u044b\u044f\u0432\u043b\u044f\u0435\u0442 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0438, \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u044b, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u044b, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u0438, \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u0443\u044e \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u044e. \u0427\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u044c \u0447\u0440\u0435\u0441\u043f\u0438\u0449\u0435\u0432\u043e\u0434\u043d\u043e\u0439 \u042d\u0445\u043e\u041a\u0413 \u0441\u043e\u0441\u0442\u0430\u0432\u043b\u044f\u0435\u0442 \u0431\u043e\u043b\u0435\u0435 90 %.<\/li>\n<li><strong>\u041a\u0422:<\/strong> \u043f\u043e\u0437\u0432\u043e\u043b\u044f\u0435\u0442 \u0432\u044b\u044f\u0432\u0438\u0442\u044c \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u044b, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u044b, \u044d\u043c\u0431\u043e\u043b\u0438\u0438 \u0438 \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430.<\/li>\n<li><strong>\u041f\u042d\u0422-\u041a\u0422:<\/strong> \u043e\u0431\u043d\u0430\u0440\u0443\u0436\u0438\u0432\u0430\u0435\u0442 \u0443\u0447\u0430\u0441\u0442\u043a\u0438 \u0430\u043a\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u044f \u0438 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0438; \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u0446\u0435\u043d\u0435\u043d \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u0438 \u043d\u0430\u043b\u0438\u0447\u0438\u0438 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432.<\/li>\n<li><strong>\u041c\u0420\u0422 \u0433\u043e\u043b\u043e\u0432\u043d\u043e\u0433\u043e \u043c\u043e\u0437\u0433\u0430:<\/strong> \u0447\u0430\u0441\u0442\u043e \u0432\u044b\u044f\u0432\u043b\u044f\u0435\u0442 \u043c\u043d\u043e\u0436\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0435 \u044d\u043c\u0431\u043e\u043b\u044b, \u0434\u0430\u0436\u0435 \u043f\u0440\u0438 \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0438 \u043d\u0435\u0432\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u0430\u0442\u0438\u043a\u0438.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"criterios-da-duke\">Crit\u00e9rios da Duke<\/h3>\n<p>\u041a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 \u0414\u044c\u044e\u043a\u0430 \u2014 \u043c\u0435\u0436\u0434\u0443\u043d\u0430\u0440\u043e\u0434\u043d\u043e \u043f\u0440\u0438\u0437\u043d\u0430\u043d\u043d\u0430\u044f \u0441\u0445\u0435\u043c\u0430 \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430 , \u043e\u0431\u044a\u0435\u0434\u0438\u043d\u044f\u044e\u0449\u0430\u044f \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0438\u0435, \u043c\u0438\u043a\u0440\u043e\u0431\u0438\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0438 \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u043e\u043d\u043d\u044b\u0435 \u0434\u0430\u043d\u043d\u044b\u0435.<\/p>\n<p><strong>\u0412\u0435\u0440\u043e\u044f\u0442\u043d\u043e\u0441\u0442\u044c \u043d\u0430\u043b\u0438\u0447\u0438\u044f \u0418\u042d<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>\u0414\u043e\u0441\u0442\u043e\u0432\u0435\u0440\u043d\u043e \u2014 \u0434\u0432\u0430 \u043e\u0441\u043d\u043e\u0432\u043d\u044b\u0445 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u044f \u0414\u044c\u044e\u043a\u0430; \u0438\u043b\u0438 \u043e\u0434\u0438\u043d \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u0439 \u0438 \u0442\u0440\u0438 \u043c\u0430\u043b\u044b\u0445; \u0438\u043b\u0438 \u043f\u044f\u0442\u044c \u043c\u0430\u043b\u044b\u0445.<\/li>\n<li>\u0412\u043e\u0437\u043c\u043e\u0436\u043d\u043e \u2014 \u043e\u0434\u0438\u043d \u043e\u0441\u043d\u043e\u0432\u043d\u043e\u0439 \u0438 \u043e\u0434\u0438\u043d\u2013\u0434\u0432\u0430 \u043c\u0430\u043b\u044b\u0445; \u0438\u043b\u0438 \u0442\u0440\u0438 \u043c\u0430\u043b\u044b\u0445.<\/li>\n<li>\u0418\u0441\u043a\u043b\u044e\u0447\u0435\u043d\u043e \u2014 \u043d\u0430\u043b\u0438\u0447\u0438\u0435 \u0430\u043b\u044c\u0442\u0435\u0440\u043d\u0430\u0442\u0438\u0432\u043d\u043e\u0433\u043e \u0434\u0438\u0430\u0433\u043d\u043e\u0437\u0430; \u043e\u0442\u0441\u0443\u0442\u0441\u0442\u0432\u0438\u0435 \u043f\u043e\u0434\u0442\u0432\u0435\u0440\u0436\u0434\u0435\u043d\u0438\u044f \u043f\u0440\u0438 \u0430\u0443\u0442\u043e\u043f\u0441\u0438\u0438; \u0438\u043b\u0438 \u043f\u043e\u043b\u043d\u043e\u0435 \u0440\u0430\u0437\u0440\u0435\u0448\u0435\u043d\u0438\u0435 \u0441\u0438\u043c\u043f\u0442\u043e\u043c\u043e\u0432 \u0431\u0435\u0437 \u0442\u0435\u0440\u0430\u043f\u0438\u0438.<\/li>\n<\/ul>\n<p><strong>\u041e\u0441\u043d\u043e\u0432\u043d\u044b\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 (major criteria)<\/strong><strong>\u00a0<\/strong><\/p>\n<ol class=\"wp-block-list\">\n<li>Uma hemocultura positiva (uma das seguintes op\u00e7\u00f5es): <\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u0434\u0432\u0430 \u0438 \u0431\u043e\u043b\u0435\u0435 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u043a\u0440\u043e\u0432\u044f\u043d\u044b\u0445 \u043f\u043e\u0441\u0435\u0432\u0430 \u0442\u0438\u043f\u0438\u0447\u043d\u044b\u0445 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u043e\u0432 (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, <em>S. aureus<\/em>, <em>S. viridans<\/em>, <em>Enterococcus spp<\/em>.) \u0438\u0437 \u0440\u0430\u0437\u043d\u044b\u0445 \u043f\u0440\u043e\u0431;<\/li>\n<li>\u0443\u0441\u0442\u043e\u0439\u0447\u0438\u0432\u043e \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u0430\u044f \u0433\u0435\u043c\u043e\u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430: \u0434\u0432\u0430 \u0438 \u0431\u043e\u043b\u0435\u0435 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u043e\u0431\u0440\u0430\u0437\u0446\u0430 \u0441 \u0438\u043d\u0442\u0435\u0440\u0432\u0430\u043b\u043e\u043c \u043d\u0435 \u043c\u0435\u043d\u0435\u0435 12 \u0447\u0430\u0441\u043e\u0432;<\/li>\n<li>\u0442\u0440\u0438 \u0438 \u0431\u043e\u043b\u0435\u0435 \u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0445 \u0433\u0435\u043c\u043e\u043a\u0443\u043b\u044c\u0442\u0443\u0440 \u0438\u0437 \u0447\u0435\u0442\u044b\u0440\u0435\u0445, \u0432\u0437\u044f\u0442\u044b\u0445 \u0432 \u0442\u0435\u0447\u0435\u043d\u0438\u0435 \u043e\u0434\u043d\u043e\u0433\u043e \u0447\u0430\u0441\u0430.<\/li>\n<\/ul>\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Evid\u00eancia de uma les\u00e3o endoc\u00e1rdica:<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u043f\u043e\u043b\u043e\u0436\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0435 \u0434\u0430\u043d\u043d\u044b\u0435 \u042d\u0445\u043e\u041a\u0413 (\u0447\u0440\u0435\u0441\u043f\u0438\u0449\u0435\u0432\u043e\u0434\u043d\u043e\u0439 \u0438\u043b\u0438 \u0442\u0440\u0430\u043d\u0441\u0442\u043e\u0440\u0430\u043a\u0430\u043b\u044c\u043d\u043e\u0439): \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u044f, \u0430\u0431\u0441\u0446\u0435\u0441\u0441, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u0430, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044f;<\/li>\n<li>\u043d\u043e\u0432\u043e\u0435 \u0432\u043e\u0437\u043d\u0438\u043a\u043d\u043e\u0432\u0435\u043d\u0438\u0435 \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0439 \u043d\u0435\u0441\u043e\u0441\u0442\u043e\u044f\u0442\u0435\u043b\u044c\u043d\u043e\u0441\u0442\u0438 (\u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438).<\/li>\n<\/ul>\n<ol start=\"3\" class=\"wp-block-list\">\n<li>\u0410\u043b\u044c\u0442\u0435\u0440\u043d\u0430\u0442\u0438\u0432\u043d\u044b\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 (ESC 2023):<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u043f\u043e\u0437\u0438\u0442\u0438\u0432\u043d\u044b\u0439 \u041f\u042d\u0422-\u041a\u0422 \u0438\u043b\u0438 SPECT \u043f\u0440\u0438 \u043f\u043e\u0434\u043e\u0437\u0440\u0435\u043d\u0438\u0438 \u043d\u0430 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u044b\u0439 \u0418\u042d;<\/li>\n<li>\u043f\u043e\u0437\u0438\u0442\u0438\u0432\u043d\u0430\u044f \u043a\u0443\u043b\u044c\u0442\u0443\u0440\u0430 \u0438\u0437 \u0438\u043d\u0442\u0440\u0430\u043e\u043f\u0435\u0440\u0430\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u043c\u0430\u0442\u0435\u0440\u0438\u0430\u043b\u0430 \u043a\u043b\u0430\u043f\u0430\u043d\u0430.<\/li>\n<\/ul>\n<p><strong>\u041c\u0430\u043b\u044b\u0435 \u043a\u0440\u0438\u0442\u0435\u0440\u0438\u0438 (minor criteria)<\/strong><\/p>\n<ol class=\"wp-block-list\">\n<li>Doen\u00e7a card\u00edaca predisponente ou administra\u00e7\u00e3o de medicamentos por via intravenosa.<\/li>\n<li>\u041b\u0438\u0445\u043e\u0440\u0430\u0434\u043a\u0430 38 \u00b0C \u0438 \u0432\u044b\u0448\u0435.<\/li>\n<li>Fen\u00f3menos vasculares: \u00eambolos, enfartes, hemorragias, manchas de Janway.<\/li>\n<li>Fen\u00f3menos imunol\u00f3gicos: n\u00f3dulos de Osler, manchas de Roth, glomerulonefrite, fator reumatoide.<\/li>\n<li>Achados microbiol\u00f3gicos que n\u00e3o cumprem os crit\u00e9rios b\u00e1sicos: uma \u00fanica hemocultura positiva ou confirma\u00e7\u00e3o serol\u00f3gica de infe\u00e7\u00e3o t\u00edpica de EI.<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"tratamento-da-endocardite-infecciosa\">Tratamento da endocardite infecciosa<\/h2>\n<h3 class=\"wp-block-heading\" id=\"%d0%9c%d0%be%d0%b4%d0%b8%d1%84%d0%b8%d0%ba%d0%b0%d1%86%d0%b8%d1%8f-%d1%84%d0%b0%d0%ba%d1%82%d0%be%d1%80%d0%be%d0%b2-%d1%80%d0%b8%d1%81%d0%ba%d0%b0\">\u041c\u043e\u0434\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f \u0444\u0430\u043a\u0442\u043e\u0440\u043e\u0432 \u0440\u0438\u0441\u043a\u0430<\/h3>\n<ul class=\"wp-block-list\">\n<li>Remo\u00e7\u00e3o\/substitui\u00e7\u00e3o de dispositivos e cateteres infectados.<\/li>\n<li>Higieniza\u00e7\u00e3o dos focos de infe\u00e7\u00e3o (dentes, pele).<\/li>\n<li>Limita os procedimentos invasivos desnecess\u00e1rios.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"terapia-medicamentosa\">Terapia medicamentosa<\/h3>\n<p>\u041f\u0440\u0438\u043d\u0446\u0438\u043f\u044b:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0432\u044b\u0441\u043e\u043a\u0438\u0435 \u0434\u043e\u0437\u044b \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0446\u0438\u0434\u043d\u044b\u0445 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0432;<\/li>\n<li>\u0434\u043b\u0438\u0442\u0435\u043b\u044c\u043d\u0430\u044f \u0442\u0435\u0440\u0430\u043f\u0438\u044f (\u043e\u0431\u044b\u0447\u043d\u043e 4\u20136 \u043d\u0435\u0434\u0435\u043b\u044c);<\/li>\n<li>\u0443\u0447\u0435\u0442 MIC (\u043c\u0438\u043d\u0438\u043c\u0430\u043b\u044c\u043d\u043e\u0439 \u0438\u043d\u0433\u0438\u0431\u0438\u0440\u0443\u044e\u0449\u0435\u0439 \u043a\u043e\u043d\u0446\u0435\u043d\u0442\u0440\u0430\u0446\u0438\u0438);<\/li>\n<li>\u0438\u043d\u0434\u0438\u0432\u0438\u0434\u0443\u0430\u043b\u0438\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0439 \u043f\u043e\u0434\u0445\u043e\u0434 \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u0445, \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u0430\u0445 \u0438 \u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u044b\u0445 \u0448\u0442\u0430\u043c\u043c\u0430\u0445.<\/li>\n<\/ul>\n<p>\u041f\u0440\u0438\u043c\u0435\u0440\u044b \u0441\u0445\u0435\u043c (\u043f\u043e ESC 2023):<\/p>\n<ul class=\"wp-block-list\">\n<li><em>Staphylococcus aureus<\/em> (\u043c\u0435\u0442\u0438\u0446\u0438\u043b\u043b\u0438\u043d-\u0447\u0443\u0432\u0441\u0442\u0432\u0438\u0442\u0435\u043b\u044c\u043d\u044b\u0439, MSSA): \u043e\u043a\u0441\u0430\u0446\u0438\u043b\u043b\u0438\u043d \/ \u043d\u0430\u0444\u0446\u0438\u043b\u043b\u0438\u043d + \u0433\u0435\u043d\u0442\u0430\u043c\u0438\u0446\u0438\u043d (\u043f\u0435\u0440\u0432\u0430\u044f \u043d\u0435\u0434\u0435\u043b\u044f); \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u2014 \u0434\u043e\u0431\u0430\u0432\u043b\u044f\u044e\u0442 \u0440\u0438\u0444\u0430\u043c\u043f\u0438\u0446\u0438\u043d;<\/li>\n<li><em>Staphylococcus aureus<\/em> (\u043c\u0435\u0442\u0438\u0446\u0438\u043b\u043b\u0438\u043d-\u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u044b\u0439, MRSA): \u0432\u0430\u043d\u043a\u043e\u043c\u0438\u0446\u0438\u043d; \u043f\u0440\u0438 \u043f\u0440\u043e\u0442\u0435\u0437\u043d\u043e\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u2014 \u0434\u043e\u0431\u0430\u0432\u043b\u044f\u044e\u0442 \u0440\u0438\u0444\u0430\u043c\u043f\u0438\u0446\u0438\u043d;<\/li>\n<li><em>Streptococcus spp<\/em>.: penicilina G ou ceftriaxona \u00b1 gentamicina;<\/li>\n<li><em>Enterococcus spp<\/em>.: \u0430\u043c\u043f\u0438\u0446\u0438\u043b\u043b\u0438\u043d + \u0433\u0435\u043d\u0442\u0430\u043c\u0438\u0446\u0438\u043d \u0438\u043b\u0438 \u0430\u043c\u043f\u0438\u0446\u0438\u043b\u043b\u0438\u043d + \u0446\u0435\u0444\u0442\u0440\u0438\u0430\u043a\u0441\u043e\u043d (\u043f\u0440\u0438 \u0432\u044b\u0441\u043e\u043a\u043e\u043c \u0443\u0440\u043e\u0432\u043d\u0435 \u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u043e\u0441\u0442\u0438 \u043a \u0433\u0435\u043d\u0442\u0430\u043c\u0438\u0446\u0438\u043d\u0443).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"tratamento-cirurgico\">Tratamento cir\u00fargico<\/h3>\n<p><strong>\u041f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0441\u0435\u0440\u0434\u0435\u0447\u043d\u0430\u044f \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c \u0432\u0441\u043b\u0435\u0434\u0441\u0442\u0432\u0438\u0435 \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0439 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u0438 (\u043e\u0441\u0442\u0440\u0430\u044f \u0442\u044f\u0436\u0435\u043b\u0430\u044f \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u0430\u044f \u0440\u0435\u0433\u0443\u0440\u0433\u0438\u0442\u0430\u0446\u0438\u044f);<\/li>\n<li>\u043d\u0435\u043a\u043e\u043d\u0442\u0440\u043e\u043b\u0438\u0440\u0443\u0435\u043c\u0430\u044f \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u044f (\u0430\u0431\u0441\u0446\u0435\u0441\u0441, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044f, \u043f\u0441\u0435\u0432\u0434\u043e\u0430\u043d\u0435\u0432\u0440\u0438\u0437\u043c\u0430, \u043f\u0440\u043e\u0434\u043e\u043b\u0436\u0430\u044e\u0449\u0430\u044f\u0441\u044f \u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0435\u043c\u0438\u044f \u0431\u043e\u043b\u0435\u0435 7 \u0434\u043d\u0435\u0439, \u043d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0430\u0434\u0435\u043a\u0432\u0430\u0442\u043d\u0443\u044e \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u044e);<\/li>\n<li>\u043f\u043e\u0432\u0442\u043e\u0440\u043d\u044b\u0435 \u044d\u043c\u0431\u043e\u043b\u0438\u0438 \u0438\u043b\u0438 \u0431\u043e\u043b\u044c\u0448\u0438\u0435 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0438 c \u044d\u043f\u0438\u0437\u043e\u0434\u043e\u043c \u044d\u043c\u0431\u043e\u043b\u0438\u0438 (>10 \u043c\u043c), \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0438 \u0431\u043e\u043b\u0435\u0435 15 \u043c\u043c, \u043e\u0441\u043e\u0431\u0435\u043d\u043d\u043e \u043f\u0440\u0438 \u043b\u0435\u0432\u043e\u0441\u0442\u043e\u0440\u043e\u043d\u043d\u0435\u043c \u0418\u042d, \u0434\u0430\u0436\u0435 \u0431\u0435\u0437 \u044d\u043c\u0431\u043e\u043b\u0438\u0439;<\/li>\n<li>\u043f\u0440\u043e\u0442\u0435\u0437\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442;<\/li>\n<li>\u0433\u0440\u0438\u0431\u043a\u043e\u0432\u044b\u0439 \u0418\u042d, \u0430 \u0442\u0430\u043a\u0436\u0435 \u0418\u042d,\u00a0 \u0432\u044b\u0437\u0432\u0430\u043d\u043d\u044b\u0439 \u0432\u044b\u0441\u043e\u043a\u043e\u0440\u0435\u0437\u0438\u0441\u0442\u0435\u043d\u0442\u043d\u044b\u043c\u0438 \u043c\u0438\u043a\u0440\u043e\u043e\u0440\u0433\u0430\u043d\u0438\u0437\u043c\u0430\u043c\u0438.<\/li>\n<\/ul>\n<p><strong>\u041f\u0440\u043e\u0442\u0438\u0432\u043e\u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0438\u044f<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0434\u0435\u043a\u043e\u043c\u043f\u0435\u043d\u0441\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u043e\u0435 \u043e\u0431\u0449\u0435\u0435 \u0441\u043e\u0441\u0442\u043e\u044f\u043d\u0438\u0435, \u043c\u0443\u043b\u044c\u0442\u0438\u043e\u0440\u0433\u0430\u043d\u043d\u0430\u044f \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u044c;<\/li>\n<li>\u043d\u0435\u0434\u0430\u0432\u043d\u0438\u0439 \u043e\u0431\u0448\u0438\u0440\u043d\u044b\u0439 \u0438\u043d\u0441\u0443\u043b\u044c\u0442 \u0441 \u0433\u0435\u043c\u043e\u0440\u0440\u0430\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c \u043a\u043e\u043c\u043f\u043e\u043d\u0435\u043d\u0442\u043e\u043c.<\/li>\n<\/ul>\n<p><strong>\u0412\u0438\u0434\u044b \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0439 <\/strong>(\u0432 \u043f\u043e\u0434\u0430\u0432\u043b\u044f\u044e\u0449\u0435\u043c \u0431\u043e\u043b\u044c\u0448\u0438\u043d\u0441\u0442\u0432\u0435 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u0438 \u0432\u044b\u043f\u043e\u043b\u043d\u044f\u044e\u0442\u0441\u044f \u0432 \u0443\u0441\u043b\u043e\u0432\u0438\u044f\u0445 \u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u043e\u0433\u043e \u043a\u0440\u043e\u0432\u043e\u043e\u0431\u0440\u0430\u0449\u0435\u043d\u0438\u044f):<\/p>\n<ul class=\"wp-block-list\">\n<li>\u0437\u0430\u043c\u0435\u043d\u0430 (\u043f\u0440\u043e\u0442\u0435\u0437\u0438\u0440\u043e\u0432\u0430\u043d\u0438\u0435) \u043f\u043e\u0440\u0430\u0436\u0435\u043d\u043d\u043e\u0433\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u0430;<\/li>\n<li>\u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0432\u0435\u0433\u0435\u0442\u0430\u0446\u0438\u0439, \u0441\u0430\u043d\u0430\u0446\u0438\u044f \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u043e\u0432;<\/li>\n<li>\u0440\u0435\u043a\u043e\u043d\u0441\u0442\u0440\u0443\u043a\u0442\u0438\u0432\u043d\u044b\u0435 \u0432\u043c\u0435\u0448\u0430\u0442\u0435\u043b\u044c\u0441\u0442\u0432\u0430 (\u043f\u043b\u0430\u0441\u0442\u0438\u043a\u0430 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u043a\u043e\u043b\u0435\u0446 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u043a\u043e\u0440\u043d\u044f \u0430\u043e\u0440\u0442\u044b); \u043f\u0440\u0438 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u043a\u043e\u0440\u043d\u044f \u0430\u043e\u0440\u0442\u044b \u043c\u043e\u0436\u0435\u0442 \u043f\u043e\u043d\u0430\u0434\u043e\u0431\u0438\u0442\u044c\u0441\u044f \u0437\u0430\u043c\u0435\u043d\u0430 \u043a\u043e\u043d\u0434\u0443\u0438\u0442\u043e\u043c (\u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u0439 \u0441\u043e\u0441\u0443\u0434\u0438\u0441\u0442\u044b\u0439 \u043f\u0440\u043e\u0442\u0435\u0437 \u0441 \u0438\u0441\u043a\u0443\u0441\u0441\u0442\u0432\u0435\u043d\u043d\u044b\u043c \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u043c) \u0438\u043b\u0438 \u0433\u043e\u043c\u043e\u0433\u0440\u0430\u0444\u0442\u043e\u043c (\u0447\u0435\u043b\u043e\u0432\u0435\u0447\u0435\u0441\u043a\u0438\u0439 \u0434\u043e\u043d\u043e\u0440\u0441\u043a\u0438\u0439 \u043a\u043b\u0430\u043f\u0430\u043d \u0441 \u0443\u0447\u0430\u0441\u0442\u043a\u043e\u043c \u0432\u043e\u0441\u0445\u043e\u0434\u044f\u0449\u0435\u0439 \u0430\u043e\u0440\u0442\u044b);<\/li>\n<li>\u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0438\u043d\u0444\u0438\u0446\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0445 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432: \u043f\u0440\u0438 \u0432\u043e\u0432\u043b\u0435\u0447\u0435\u043d\u0438\u0438 \u044d\u043b\u0435\u043a\u0442\u0440\u043e\u0434\u043e\u0432 \u0438\u043b\u0438 \u043a\u0430\u0440\u0434\u0438\u043e\u0441\u0442\u0438\u043c\u0443\u043b\u044f\u0442\u043e\u0440\u0430 \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u043e \u0443\u0434\u0430\u043b\u0435\u043d\u0438\u0435 \u0432\u0441\u0435\u0439 \u0441\u0438\u0441\u0442\u0435\u043c\u044b; \u043f\u0440\u0438 TAVI-\u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0435 \u043e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u0447\u0430\u0441\u0442\u043e \u0441\u043e\u043f\u0440\u044f\u0436\u0435\u043d\u0430 \u0441 \u0432\u044b\u0441\u043e\u043a\u043e\u0439 \u043b\u0435\u0442\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c\u044e, \u043d\u043e \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0430 \u043f\u0440\u0438 \u043d\u0435\u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0438 \u0442\u0435\u0440\u0430\u043f\u0438\u0438.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. O que \u00e9 a endocardite infecciosa?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A endocardite infecciosa \u00e9 uma doen\u00e7a inflamat\u00f3ria do revestimento interno do cora\u00e7\u00e3o (endoc\u00e1rdio), mais frequentemente envolvendo as v\u00e1lvulas, causada por uma infe\u00e7\u00e3o bacteriana ou f\u00fangica.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Que sintomas s\u00e3o mais carater\u00edsticos da EI?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sintomas mais comuns: febre, arrepios, fraqueza, sopros no cora\u00e7\u00e3o, perda de peso. Complica\u00e7\u00f5es poss\u00edveis: acidentes vasculares cerebrais, embolias, insufici\u00eancia card\u00edaca. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Que bact\u00e9rias causam mais frequentemente a EI?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u041d\u0430\u0438\u0431\u043e\u043b\u0435\u0435 \u0447\u0430\u0441\u0442\u044b\u0435 \u0432\u043e\u0437\u0431\u0443\u0434\u0438\u0442\u0435\u043b\u0438: <em>Staphylococcus aureus, Streptococcus viridans, Enterococcus spp.<\/em>. \u0423 \u043b\u0438\u0446 \u0441 \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u043c\u0438 \u0438\u043b\u0438 \u0432\u043d\u0443\u0442\u0440\u0438\u0441\u043e\u0441\u0443\u0434\u0438\u0441\u0442\u044b\u043c\u0438 \u0443\u0441\u0442\u0440\u043e\u0439\u0441\u0442\u0432\u0430\u043c\u0438 \u0447\u0430\u0441\u0442\u043e \u0432\u0441\u0442\u0440\u0435\u0447\u0430\u0435\u0442\u0441\u044f <em>Staphylococcus epidermidis<\/em>.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Quais s\u00e3o os perigos da endocardite infecciosa?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0418\u042d \u043c\u043e\u0436\u0435\u0442 \u043f\u0440\u0438\u0432\u0435\u0441\u0442\u0438 \u043a \u0440\u0430\u0437\u0440\u0443\u0448\u0435\u043d\u0438\u044e \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432, \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438, \u044d\u043c\u0431\u043e\u043b\u0438\u0447\u0435\u0441\u043a\u0438\u043c \u043e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f\u043c (\u0438\u043d\u0441\u0443\u043b\u044c\u0442\u044b, \u0438\u043d\u0444\u0430\u0440\u043a\u0442\u044b \u043e\u0440\u0433\u0430\u043d\u043e\u0432), \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u0430\u043c \u0438 \u0441\u0435\u043f\u0441\u0438\u0441\u0443. \u041b\u0435\u0442\u0430\u043b\u044c\u043d\u043e\u0441\u0442\u044c \u0434\u043e\u0441\u0442\u0438\u0433\u0430\u0435\u0442 20\u201330 %.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. A EI pode ser tratada sem cirurgia?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sim, em alguns casos \u2013 especialmente com v\u00e1lvulas nativas e microrganismos sens\u00edveis \u2013 \u00e9 poss\u00edvel curar completamente com antibi\u00f3ticos. No entanto, se surgirem complica\u00e7\u00f5es, pode ser necess\u00e1ria uma interven\u00e7\u00e3o cir\u00fargica. <\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Quando \u00e9 que a cirurgia \u00e9 necess\u00e1ria para a EI?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u041e\u043f\u0435\u0440\u0430\u0446\u0438\u044f \u043f\u043e\u043a\u0430\u0437\u0430\u043d\u0430 \u043f\u0440\u0438: <br \/>\u2022 \u0441\u0435\u0440\u0434\u0435\u0447\u043d\u043e\u0439 \u043d\u0435\u0434\u043e\u0441\u0442\u0430\u0442\u043e\u0447\u043d\u043e\u0441\u0442\u0438 \u0438\u0437-\u0437\u0430 \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0439 \u0434\u0438\u0441\u0444\u0443\u043d\u043a\u0446\u0438\u0438; <br \/>\u2022 \u0430\u0431\u0441\u0446\u0435\u0441\u0441\u0430\u0445, \u0440\u0430\u0437\u0440\u044b\u0432\u0430\u0445, \u043f\u0435\u0440\u0444\u043e\u0440\u0430\u0446\u0438\u044f\u0445; <br \/>\u2022 \u043d\u0435\u044d\u0444\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0439 \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u0442\u0435\u0440\u0430\u043f\u0438\u0438; <br \/>\u2022 \u0433\u0440\u0438\u0431\u043a\u043e\u0432\u043e\u0439 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u0438; <br \/>\u2022 \u0440\u0435\u0446\u0438\u0434\u0438\u0432\u0438\u0440\u0443\u044e\u0449\u0438\u0445 \u044d\u043c\u0431\u043e\u043b\u0438\u044f\u0445.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Durante quanto tempo \u00e9 administrado o tratamento com antibi\u00f3ticos?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A dura\u00e7\u00e3o do tratamento \u00e9 normalmente de 4-6 semanas, dependendo do agente causador, do tipo de v\u00e1lvula (nativa ou prot\u00e9sica) e das complica\u00e7\u00f5es.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. A endocardite infecciosa pode ser prevenida?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">\u0414\u0430, \u0443 \u043f\u0430\u0446\u0438\u0435\u043d\u0442\u043e\u0432 \u0438\u0437 \u0433\u0440\u0443\u043f\u043f\u044b \u0440\u0438\u0441\u043a\u0430 (\u043d\u0430\u043f\u0440\u0438\u043c\u0435\u0440, \u0441 \u043f\u0440\u043e\u0442\u0435\u0437\u0430\u043c\u0438 \u043a\u043b\u0430\u043f\u0430\u043d\u043e\u0432) \u0440\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0443\u0435\u0442\u0441\u044f \u0430\u043d\u0442\u0438\u0431\u0438\u043e\u0442\u0438\u043a\u043e\u043f\u0440\u043e\u0444\u0438\u043b\u0430\u043a\u0442\u0438\u043a\u0430 \u043f\u0435\u0440\u0435\u0434 \u043e\u043f\u0440\u0435\u0434\u0435\u043b\u0435\u043d\u043d\u044b\u043c\u0438 \u0441\u0442\u043e\u043c\u0430\u0442\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u0438\u043b\u0438 \u0445\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u043c\u0438 \u043f\u0440\u043e\u0446\u0435\u0434\u0443\u0440\u0430\u043c\u0438.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">9. Quem corre um risco elevado de sofrer de EI?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Indiv\u00edduos com v\u00e1lvulas prot\u00e9sicas, pacemakers, EI anterior, doen\u00e7a card\u00edaca cong\u00e9nita, doentes em hemodi\u00e1lise e consumidores de drogas.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"lista-de-fontes\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Lista de fontes<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet]. VOKA 3D Anatomy & Pathology. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Available from: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Delgado V, Ajmone Marsan N, de Waha S, Bonaros N, Brida M, Burri H, et al.; ESC Scientific Document Group. 2023 ESC guidelines for the management of endocarditis. Eur Heart J. 2023 Oct 14;44(39):3948\u20134042. doi:10.1093\/eurheartj\/ehad193. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Li M, Kim JB, Sastry BKS, Chen M. Infective endocarditis. Lancet. 2024 Jul 27;404(10450):377\u2013392. doi:10.1016\/S0140-6736(24)01098-5.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Rajani R, Klein JL. Infective endocarditis: a contemporary update. Clin Med (Lond). 2020 Jan;20(1):31\u201335. doi:10.7861\/clinmed.cme.20.1.1. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Wang A, Gaca JG, Chu VH. Management considerations in infective endocarditis: a review. JAMA. 2018 Jul 3;320(1):72\u201383. doi:10.1001\/jama.2018.7596. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Baddour LM, Wilson WR, Bayer AS, Fowler VG Jr, Tleyjeh IM, Rybak MJ, et al.; American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular Disease in the Young, Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and Stroke Council. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications: a scientific statement for healthcare professionals from the American Heart Association. Circulation. 2015 Oct 13;132(15):1435\u20131486. doi:10.1161\/CIR.0000000000000296. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Iung B. Infective endocarditis: epidemiology, pathophysiology and histopathology. Presse Med. 2019 May;48(5):513\u2013521. doi:10.1016\/j.lpm.2019.04.009. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Chambers HF, Bayer AS. Native-valve infective endocarditis. N Engl J Med. 2020 Aug 6;383(6):567\u2013576. doi:10.1056\/NEJMcp2000400. <\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Jain A, Subramani S, Gebhardt B, Hauser J, Bailey C, Ramakrishna H. Infective endocarditis\u2014update for the perioperative clinician. J Cardiothorac Vasc Anesth. 2023 Apr;37(4):637\u2013649. doi:10.1053\/j.jvca.2022.12.030. <\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u0418\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u044b\u0439 \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442 (\u0418\u042d) \u2014 \u044d\u0442\u043e \u043f\u043e\u0442\u0435\u043d\u0446\u0438\u0430\u043b\u044c\u043d\u043e \u0436\u0438\u0437\u043d\u0435\u0443\u0433\u0440\u043e\u0436\u0430\u044e\u0449\u0435\u0435 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u0435, \u0441\u0432\u044f\u0437\u0430\u043d\u043d\u043e\u0435 \u0441 \u0432\u043e\u0441\u043f\u0430\u043b\u0435\u043d\u0438\u0435\u043c \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0430, \u043f\u0440\u0435\u0438\u043c\u0443\u0449\u0435\u0441\u0442\u0432\u0435\u043d\u043d\u043e \u043a\u043b\u0430\u043f\u0430\u043d\u043d\u043e\u0433\u043e \u0430\u043f\u043f\u0430\u0440\u0430\u0442\u0430 \u0441\u0435\u0440\u0434\u0446\u0430, \u0432\u044b\u0437\u0432\u0430\u043d\u043d\u043e\u0435 \u043c\u0438\u043a\u0440\u043e\u0431\u043d\u043e\u0439 \u0438\u043d\u0432\u0430\u0437\u0438\u0435\u0439. \u041d\u0435\u0441\u043c\u043e\u0442\u0440\u044f \u043d\u0430 \u0440\u0430\u0437\u0432\u0438\u0442\u0438\u0435 \u0430\u043d\u0442\u0438\u0431\u0430\u043a\u0442\u0435\u0440\u0438\u0430\u043b\u044c\u043d\u043e\u0439 \u0442\u0435\u0440\u0430\u043f\u0438\u0438 \u0438 \u0441\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0445 \u043c\u0435\u0442\u043e\u0434\u043e\u0432 \u0432\u0438\u0437\u0443\u0430\u043b\u0438\u0437\u0430\u0446\u0438\u0438, \u043f\u0440\u043e\u0446\u0435\u043d\u0442 \u0441\u043c\u0435\u0440\u0442\u043d\u043e\u0441\u0442\u0438 \u043e\u0442 \u043e\u0431\u0449\u0435\u0433\u043e \u0447\u0438\u0441\u043b\u0430 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0448\u0438\u0445 \u043e\u0441\u0442\u0430\u0435\u0442\u0441\u044f \u0432\u044b\u0441\u043e\u043a\u0438\u043c. Epidemiologia \u0427\u0430\u0441\u0442\u043e\u0442\u0430 \u0438\u043d\u0444\u0435\u043a\u0446\u0438\u043e\u043d\u043d\u043e\u0433\u043e \u044d\u043d\u0434\u043e\u043a\u0430\u0440\u0434\u0438\u0442\u0430 \u0432\u0430\u0440\u044c\u0438\u0440\u0443\u0435\u0442 \u043e\u0442 3 \u0434\u043e 15 \u0441\u043b\u0443\u0447\u0430\u0435\u0432 \u043d\u0430 100 000 \u043d\u0430\u0441\u0435\u043b\u0435\u043d\u0438\u044f \u0432 \u0433\u043e\u0434. \u0417\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u0435\u043c\u043e\u0441\u0442\u044c \u0432\u043e\u0437\u0440\u0430\u0441\u0442\u0430\u0435\u0442 \u0441 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","diseases_category":[293],"class_list":["post-883","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-cardiologia"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Endocardite infecciosa: sintomas, causas, classifica\u00e7\u00e3o, tratamento<\/title>\n<meta name=\"description\" content=\"A endocardite infecciosa \u00e9 uma inflama\u00e7\u00e3o perigosa do revestimento interno do cora\u00e7\u00e3o com danos nas v\u00e1lvulas. 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