By Grüneberg MD
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Extra resources for Antibiotics and Chemotherapy
INDICATIONS FOR SURGERY In the last 13 years the value of surgery in the management of endocarditis has become increasingly recognised. Various haemodynamic complications, such as severe aortic regurgitation, may indicate the need for surgery. When these complications occur suddenly, emergency surgery is often necessary. Ideally, surgery should be performed when the patient is not in heart failure and when there is no longer any infection at the site of the heart valve. These ideal conditions may exist in those patients who have only slowly developed haemodynamic complications.
And Cobbs, C. G. (1976). Infective endocarditis in drug addicts. In D. ) Infective Endocarditis, p. 124. (Baltimore: University Park Press) 50 Greenwood, D. and O'Grady, F. (1973). Interactions between fusidic acid and penicillins. J. Med. , 6,441 51 Leading Article (1977). Haemophilus endocarditis. Lancet, 1, 1349 52 Lynn, D. , Kane, J. , Parker, R. H. (1977). Haemophilus parainJluenzae and inJluenzae endocarditis: a review of forty cases. Medicine, 56, 115 53 Johnson, R. , Kennedy, R. , Morton, K.
1968). Candida endocarditis after heart surgery. , Meshel, L. and Rubin, I. L. (1969). Aspergillus endocarditis superimposed on aortic valve prosthesis. N. Y. State J. , 69, 1923 84 Chaudhury, M. R. (1970). Fungal endocarditis after valve replacements. J. Thorac. Cardiovasc. , 60,207 85 Leading Article. (1975). Candida endocarditis. Brit. Med. , Kay, J. , Mendez, A. M. and Zabiate, P. (1975). Surgical treatment of candida endocarditis. Chest, 67,262 87 Record, C. , Skinner, J. , Sleight, P. and Speller, D.