Multidisciplinary Endocarditis Perspectives: 2nd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiovascular Medicine".

Deadline for manuscript submissions: 25 January 2025 | Viewed by 1619

Special Issue Editor


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Guest Editor
Applied Diagnostic Echocardiography Unit, IRCCS Humanitas Clinical and Research Center, 20089 Rozzano, Italy
Interests: echocardiography; valvular heart disease; hypertrophic cardiomyopathy; mitral valve prolapse; endocarditis; post-radiation heart disease
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Special Issue Information

Dear Colleagues,

This is the second edition of the Special Issue ‘Multidisciplinary Endocarditis Perspectives’ (https://www.mdpi.com/journal/jcm/special_issues/9C9F40650L).

The evolving scenario, together with a high comorbidity burden, highlights the need for comprehensive and focused clinical pathways to improve endocarditis diagnosis and patient-centered management. The second edition of this Special Issue is dedicated to multidisciplinary perspectives and intends to further enhance the philosophy of understanding the complexity of endocarditis by focusing on clinical diagnostic challenges, multimodality imaging advances, and key contributions from specialists in various fields (cardiology, infectious diseases, microbiology, internal medicine, nephrology, and cardiothoracic surgery), as well as unusual clinical phenotypes, treatments, and preventive stewardship.

Dr. Giovanni La Canna
Guest Editor

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Keywords

  • endocarditis
  • clinical diagnostic
  • multimodality imaging
  • cardiology
  • clinical phenotypes

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Published Papers (1 paper)

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Review

23 pages, 8220 KiB  
Review
Unexpected Infective Endocarditis: Towards a New Alert for Clinicians
by Giovanni La Canna, Lucia Torracca, Alessandro Barbone and Iside Scarfò
J. Clin. Med. 2024, 13(17), 5058; https://doi.org/10.3390/jcm13175058 - 26 Aug 2024
Viewed by 1427
Abstract
Despite the clear indications and worldwide application of specific guidelines, the recognition of Infective Endocarditis (IE) may be challenging in day-to-day clinical practice. Significant changes in the epidemiological and clinical profile of IE have been observed, including variations in the populations at risk [...] Read more.
Despite the clear indications and worldwide application of specific guidelines, the recognition of Infective Endocarditis (IE) may be challenging in day-to-day clinical practice. Significant changes in the epidemiological and clinical profile of IE have been observed, including variations in the populations at risk and an increased incidence in subjects without at-risk cardiac disease. Emergent at-risk populations for IE particularly include immunocompromised patients with a comorbidity burden (e.g., cancer, diabetes, dialysis), requiring long-term central venous catheters or recurrent healthcare interventions. In addition, healthy subjects, such as skin-contact athletes or those with piercing implants, may be exposed to the transmission of highly virulent bacteria (through the skin or mucous), determining endothelial lesions and subsequent IE, despite the absence of pre-existing at-risk cardiac disease. Emergent at-risk populations and clinical presentation changes may subvert the conventional paradigm of IE toward an unexpected clinical scenario. Owing to its unusual clinical context, IE might be overlooked, resulting in a challenging diagnosis and delayed treatment. This review, supported by a series of clinical cases, analyzed the subtle and deceptive phenotypes subtending the complex syndrome of unexpected IE. The awareness of an unexpected clinical course should alert clinicians to also consider IE diagnosis in patients with atypical features, enhancing vigilance for preventive measures in an emergent at-risk population untargeted by conventional workflows. Full article
(This article belongs to the Special Issue Multidisciplinary Endocarditis Perspectives: 2nd Edition)
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