Healio Rheuminations

Infectious Endocarditis for the Rheumatologist, Part 3: The Immune System Behaving Badly


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The completion of the Endocarditis for the Rheumatologist trilogy! This episode focuses on the glomerulonephritis of endocarditis as well as the immunologic abnormalities you can see on labs.

Brought to you by GSK. Consider the long-term impact of disease activity flares and corticosteroid use on patients with active SLE. Learn more now at treatfortodayandtomorrow.com.

  • Intro :11
  • In this episode :22
  • Recap of previous episodes :39
  • About episode three 1:00
  • How labs can give a clue to endocarditis being a culprit 1:23
  • The immune complex nature of infective endocarditis 6:30
  • How do you measure immune complex? 9:10
  • What are the effects of immune complex formation on the organ systems? 12:37

Brought to you by GSK. Considering a treatment change for patients with active SLE? Learn about a treatment option for your patients at treatfortodayandtomorrow.com.

  • Cryoglobulins and rheumatoid factor in infective endocarditis 15:12
  • The kidneys and infective endocarditis 16:45
  • Glomerulonephritis and infective endocarditis 24:15
  • ANCA-positive vasculitis and infective endocarditis 29:09
  • A summary of infective endocarditis 32:21
  • Takeaways 33:28
  • A preview of next episode 33:48
  • Conclusion 34:12

Disclosure: Brown reports no relevant financial disclosures.

We’d love to hear from you! Send your comments/questions to Dr. Brown at [email protected]. Follow us on Twitter @HRheuminations @AdamJBrownMD @HealioRheum

References:

Bayer AS, et al. N Engl J Med. 1976;295:1500-1505.

Boils CL, et al. Kidney Int. 2015;87:1241-1249.

Forte WC, et al. Arq Bras Cardiol. 2001;76:43-52.

Hurwitz D, et al. Clin Exp Immunol. 1975;19:131-141.

Langlois V, et al. Medicine (Baltimore). 2016;95:e2564.

Levy RL, Hong R. Am J Med. 1973;54:645-652.

Ma T-T, et al. PLoS One. 2014;9: https://doi.org/10.1371/journal.pone.0097843.

Messias-Reason IL, et al. Clin Exp Immunol. 2002;127:310-315.

Petersdorf RG. N Engl J Med. 1976;295:1534-1535.

Spain DM, King DW. Ann Intern Med. 1952;36:1086-1089.

Williams Jr RC, Kunkel HG. J Clin Invest. 1962;41:666-675.

Tire squealing sound effect by Mike Koenig.

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Healio RheuminationsBy Adam J. Brown, MD

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