{"id":621,"date":"2025-05-27T18:49:19","date_gmt":"2025-05-27T15:49:19","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/endocardite-infectieuse\/"},"modified":"2026-06-01T10:02:00","modified_gmt":"2026-06-01T07:02:00","slug":"endocardite-infectieuse","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/fr\/maladies\/cardiologie\/endocardite-infectieuse\/","title":{"rendered":"Endocardite infectieuse : \u00e9tiologie, pathog\u00e9nie, classification, diagnostic et options de traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">L\u2019endocardite infectieuse (EI) est une maladie potentiellement mortelle, associ\u00e9e \u00e0 une inflammation de l\u2019endocarde, principalement de l\u2019appareil valvulaire du c\u0153ur, due \u00e0 une invasion microbienne. Malgr\u00e9 le d\u00e9veloppement de l\u2019antibioth\u00e9rapie et des techniques d\u2019imagerie modernes, le taux de mortalit\u00e9 du nombre total de patients reste \u00e9lev\u00e9.<\/p>\n<div class=\"videos-carousel-block\">\n<div class=\"swiper video-carousel-swiper video-carousel-swiper-block_6a288ae711050\">\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-Animation \u2013 Endocardite infectieuse des parties gauches du c\u0153ur<\/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-Animation \u2013 Endocardite infectieuse des parties droites du c\u0153ur<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-video-carousel__controls\">\n<div class=\"swiper-article-video-carousel__pagination-container swiper-article-video-carousel__pagination-container-block_6a288ae711050\"><\/div>\n<div class=\"swiper-article-video-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev swiper__arrow swiper__arrow--prev video-carousel-swiper-button-prev-block_6a288ae711050\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 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 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23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 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 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_6a288ae711050', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-video-carousel__pagination-container-block_6a288ae711050',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.video-carousel-swiper-button-next-block_6a288ae711050',\n                prevEl: '.video-carousel-swiper-button-prev-block_6a288ae711050',\n            },\n            on: {\n                slideChangeTransitionStart: function () {\n                    const videos = this.el.querySelectorAll('video');\n                    videos.forEach(video => {\n                        if (!video.paused) {\n                            video.pause();\n                            video.currentTime = 0;\n                        }\n                    });\n                },\n            }\n        })\n    })\n<\/script><\/p>\n<h2 id=\"epidemiologie\" class=\"wp-block-heading\">\u00c9pid\u00e9miologie<\/h2>\n<p class=\"wp-block-paragraph\">L\u2019incidence de l\u2019endocardite infectieuse varie de 3 \u00e0 15 cas pour 100 000 habitants par an. Elle augmente avec l\u2019\u00e2ge : le pic d\u2019incidence est observ\u00e9 chez les personnes de plus de 60 ans, d\u00fb \u00e0 l\u2019accumulation de facteurs de risque tels que les proth\u00e8ses valvulaires, les implants cardiaques, les maladies chroniques et les interventions m\u00e9dicales fr\u00e9quentes. La maladie touche les hommes environ deux fois plus fr\u00e9quemment que les femmes.<\/p>\n<p class=\"wp-block-paragraph\">Au cours des derni\u00e8res d\u00e9cennies, le profil \u00e9pid\u00e9miologique a chang\u00e9 : au lieu des patients pr\u00e9sentant des d\u00e9ficiences cardiaques rhumatismales et des consommateurs de drogues par voie intraveineuse, ce sont d\u00e9sormais principalement des patients \u00e2g\u00e9s ayant souvent des valves implant\u00e9es, des proth\u00e8ses et des stimulateurs cardiaques.<\/p>\n<h2 id=\"etiologie\" class=\"wp-block-heading\">\u00c9tiologie<\/h2>\n<p class=\"wp-block-paragraph\">Divers micro-organismes peuvent causer le d\u00e9veloppement de l\u2019EI.<\/p>\n<ul class=\"wp-block-list\">\n<li><em>Staphylococcus aureus<\/em> \u2014 leader en fr\u00e9quence, surtout dans le cas d\u2019EI nosocomial et chez les toxicomanes.<\/li>\n<li><em>Streptococcus viridans<\/em> \u2014 agents classiques des atteintes de valves natives chez des patients sans facteurs de risque \u00e9vidents.<\/li>\n<li><em>Enterococcus spp.<\/em> : facteur important chez les patients \u00e2g\u00e9s, souvent associ\u00e9 \u00e0 des interventions urog\u00e9nitales ;<\/li>\n<li>Staphylocoques \u00e0 coagulase n\u00e9gative : agents pathog\u00e8nes fr\u00e9quents dans les infections de proth\u00e8ses valvulaires ;<\/li>\n<li>Groupe HACEK, champignons, bacilles \u00e0 Gram n\u00e9gatif et autres \u2013 moins fr\u00e9quents.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Les facteurs de risque sont les suivants : pr\u00e9sence de valves artificielles et de stimulateurs cardiaques, ant\u00e9c\u00e9dents d\u2019endocardite infectieuse, cardiopathies, consommation de drogues intraveineuses, h\u00e9modialyse chronique.<\/p>\n<h2 id=\"pathogenese\" class=\"wp-block-heading\">Pathogen\u00e8se<\/h2>\n<p class=\"wp-block-paragraph\">La pathog\u00e9nie de l\u2019endocardite infectieuse comprend plusieurs phases successives :<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>L\u00e9sion de l\u2019endoth\u00e9lium des valves<\/strong> (par exemple, lors d\u2019un flux sanguin turbulent) \u2192 exposition de la matrice extracellulaire.<\/li>\n<li><strong>Adh\u00e9sion des plaquettes et de la fibrine<\/strong> \u2192 formation d\u2019un thrombus st\u00e9rile (endocardite thrombotique non bact\u00e9rienne).<\/li>\n<li><strong>Invasion microbienne<\/strong> \u2014 lors d\u2019une bact\u00e9ri\u00e9mie transitoire, les micro-organismes colonisent le thrombus.<\/li>\n<li><strong>Formation de v\u00e9g\u00e9tations<\/strong> \u2014 accumulations denses de fibrine, de cellules inflammatoires et de bact\u00e9ries, prot\u00e9g\u00e9es de la r\u00e9ponse immunitaire et des antibiotiques.<\/li>\n<li><strong>Destruction des structures valvulaires et <span class=\"glossary-term\" data-title=\"Embolisation\" data-tooltip=\"L\u2019embolisation est une proc\u00e9dure endovasculaire mini-invasive consistant en l\u2019occlusion cibl\u00e9e d\u2019un vaisseau sanguin par l\u2019introduction de mat\u00e9riaux sp\u00e9cifiques, appel\u00e9s emboles, dans sa lumi\u00e8re.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/embolisation\/\">embolisation<\/span> possible<\/strong> \u2192 complications syst\u00e9miques, septic\u00e9mie, insuffisance cardiaque aigu\u00eb. <\/li>\n<\/ol>\n<p class=\"wp-block-paragraph\">Les m\u00e9canismes immunitaires contribuent \u00e9galement au d\u00e9veloppement de complications telles que la vascularite et la glom\u00e9rulon\u00e9phrite.<\/p>\n<p class=\"wp-block-paragraph\">Une \u00e9tape cl\u00e9 est la formation de v\u00e9g\u00e9tations qui favorisent la persistance de l\u2019infection et le d\u00e9veloppement de complications emboliques.<\/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=\"V\u00e9g\u00e9tations sur la valve mitrale\"><figcaption class=\"wp-element-caption\">V\u00e9g\u00e9tations sur la valve mitrale<\/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=\"Perforation du feuillet de la valve tricuspide\"><figcaption class=\"wp-element-caption\">Perforation du feuillet de la valve tricuspide<\/figcaption><\/figure>\n<h2 id=\"classification-de-l-endocardite-infectieuse\" class=\"wp-block-heading\">Classification de l\u2019endocardite infectieuse<\/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>Selon la localisation du processus<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite du c\u00f4t\u00e9 gauche<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Atteinte des valves mitrales et\/ou aortiques (la plus fr\u00e9quente)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite du c\u00f4t\u00e9 droit\u00a0<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Atteinte des valves tricuspides et\/ou (moins souvent) pulmonaires (plus fr\u00e9quente chez les consommateurs de drogues injectables, patients avec un cath\u00e9ter veineux central)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite combin\u00e9e<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Atteinte simultan\u00e9e des parties droites et gauches<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite proth\u00e9tique<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Inflammation d\u2019une valve proth\u00e9tique m\u00e9canique ou biologique<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite des dispositifs<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Infection associ\u00e9e aux \u00e9lectrodes de stimulateurs cardiaques, d\u00e9fibrillateurs implantables, etc.<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>Selon l\u2019\u00e9tiologie (agent pathog\u00e8ne)<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Cocci \u00e0 Gram positif<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Staphylococcus aureus<\/em>, staphylocoques coagulase-n\u00e9gatifs, <em>Streptococcus viridans<\/em>, <em>Enterococcus spp.<\/em><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Bact\u00e9ries \u00e0 Gram n\u00e9gatif<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Groupe HACEK, autres ent\u00e9robact\u00e9ries<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Atypiques \/ obligatoirement intracellulaires<\/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\">Champignons<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>Candida spp.<\/em>, <em>Aspergillus spp.<\/em> (rare, plus fr\u00e9quent chez les immunod\u00e9prim\u00e9s)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\" colspan=\"2\"><strong>Selon l\u2019\u00e9volution clinique\u00a0<\/strong><\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite aigu\u00eb<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">D\u00e9but : soudain<br \/>\u00c9volution : rapide, agressive<br \/>Agents pathog\u00e8nes (plus fr\u00e9quent) : <em>Staphylococcus aureus<\/em>, streptocoques \u03b2-h\u00e9molytiques<br \/>Caract\u00e9ristiques : d\u00e9gradation rapide des valves, septic\u00e9mie, taux de mortalit\u00e9 \u00e9lev\u00e9<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite subaigu\u00eb<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">D\u00e9but : progressif (semaines)<br \/>\u00c9volution : lente, avec une symptomatologie vague<br \/>Agents pathog\u00e8nes (plus fr\u00e9quent) : <em>Streptococcus viridans<\/em>, <em>Enterococcus spp<\/em>. <br \/>Caract\u00e9ristiques : an\u00e9mie, fi\u00e8vre basse, manifestations immunitaires<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Endocardite chronique<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">D\u00e9but : long (mois)<br \/>\u00c9volution : cach\u00e9e ou r\u00e9currente<br \/>Agents pathog\u00e8nes (plus fr\u00e9quent) : bact\u00e9ries faiblement virulentes, formes culture-n\u00e9gatives<br \/>Caract\u00e9ristiques : inflammation prolong\u00e9e, changements valvulaires persistants, possible r\u00e9cidive apr\u00e8s traitement<\/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 infectieuse du c\u0153ur gauche (v\u00e9g\u00e9tations sur les valves et la jonction mitro-aortique)\"><figcaption class=\"wp-element-caption\">Endocardite infectieuse du c\u0153ur gauche (v\u00e9g\u00e9tations sur les valves et la jonction mitro-aortique) \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\">Mod\u00e8le 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 infectieuse du c\u0153ur droit (v\u00e9g\u00e9tations et perforation sur la valve tricuspide)\"><figcaption class=\"wp-element-caption\">Endocardite infectieuse du c\u0153ur droit (v\u00e9g\u00e9tations et perforation sur la valve tricuspide) \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\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 id=\"manifestations-cliniques\" class=\"wp-block-heading\">Manifestations cliniques<\/h2>\n<p class=\"wp-block-paragraph\">La symptomatologie de l\u2019EI est variable et peut inclure des sympt\u00f4mes non sp\u00e9cifiques ainsi que des \u00e9tats mettant en danger la vie.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Sympt\u00f4mes g\u00e9n\u00e9raux<\/strong> : fi\u00e8vre, sueurs, fatigue, perte de poids.<\/li>\n<li><strong>Signes cardiaques<\/strong> : souffle nouveau ou modifi\u00e9, signes d\u2019insuffisance cardiaque.<\/li>\n<li><strong>Complications emboliques<\/strong> : accident vasculaire c\u00e9r\u00e9bral, isch\u00e9mie des extr\u00e9mit\u00e9s, infarctus des organes internes.<\/li>\n<li><strong>Manifestations immunitaires<\/strong> : purpura, nodosit\u00e9s d\u2019Osler, taches de Janeway, glom\u00e9rulon\u00e9phrite.<\/li>\n<li><strong>Atteinte du syst\u00e8me de conduction<\/strong> : blocs, arythmies.<\/li>\n<li><strong>Lors d\u2019une \u00e9volution s\u00e9v\u00e8re d\u2019IE<\/strong>, d\u00e9veloppement possible d\u2019un choc septique et d\u2019une d\u00e9faillance multivisc\u00e9rale.<\/li>\n<li><strong>Dans l\u2019endocardite proth\u00e9tique<\/strong>, les souffles auscultatoires peuvent \u00eatre moins marqu\u00e9s, une infection p\u00e9riannulaire se d\u00e9veloppe souvent : <span class=\"glossary-term\" data-title=\"Abc\u00e8s\" data-tooltip=\"Un abc\u00e8s est une accumulation locale de pus, limit\u00e9e par une capsule et r\u00e9sultant d&#039;une inflammation purulente des tissus. Il se caract\u00e9rise par la pr\u00e9sence d&#039;une membrane pyog\u00e8ne qui isole le foyer des tissus sains et emp\u00eache la propagation de l&#039;infection.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/abces\/\">abc\u00e8s<\/span>, pseudo-an\u00e9vrismes, fistules.<\/li>\n<\/ul>\n<h2 id=\"diagnostic-de-l-endocardite-infectieuse\" class=\"wp-block-heading\">Diagnostic de l\u2019endocardite infectieuse<\/h2>\n<h3 id=\"methodes-en-laboratoire\" class=\"wp-block-heading\">M\u00e9thodes en laboratoire:<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>H\u00e9mogramme<\/strong> : an\u00e9mie normocytaire, leucocytose, thrombocytop\u00e9nie.<\/li>\n<li><strong>VS, CRP<\/strong> : augmentation significative.<\/li>\n<li><strong>Procalcitonine<\/strong> : peut \u00eatre mod\u00e9r\u00e9ment \u00e9lev\u00e9e.<\/li>\n<li><strong>Param\u00e8tres r\u00e9naux<\/strong> : cr\u00e9atinine \u00e9lev\u00e9e (glom\u00e9rulon\u00e9phrite, embolie).<\/li>\n<li><strong>H\u00e9mocultures<\/strong> : \u2265 3 \u00e9chantillons \u00e0 \u2265 30 min d\u2019intervalle avant antibioth\u00e9rapie (jusqu\u2019\u00e0 95 % de sensibilit\u00e9).<\/li>\n<li><strong>S\u00e9rologie\/PCR<\/strong> : en cas d\u2019EI culture n\u00e9gative (<em>Bartonella<\/em>, <em>Coxiella<\/em>, <em>Brucella<\/em> et autres).<\/li>\n<\/ul>\n<h3 id=\"methodes-instrumentales\" class=\"wp-block-heading\">M\u00e9thodes instrumentales:<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>\u00c9choCG<\/strong> (\u00e9chocardiographie trans\u0153sophagienne pr\u00e9f\u00e9r\u00e9e \u00e0 l\u2019\u00e9chocardiographie transthoracique) : met en \u00e9vidence des v\u00e9g\u00e9tations, abc\u00e8s, pseudo-an\u00e9vrismes, perforations, dysfonction de la proth\u00e8se. La sensibilit\u00e9 de l\u2019\u00e9chocardiographie trans\u0153sophagienne est sup\u00e9rieure \u00e0 90 %.<\/li>\n<li><strong><span class=\"glossary-term\" data-title=\"Tomodensitom\u00e9trie\" data-tooltip=\"La tomodensitom\u00e9trie est une technique de radiodiagnostic qui utilise des rayons X pour obtenir des images en coupe des organes et des tissus internes. C&#039;est une des m\u00e9thodes d&#039;imagerie principales de la m\u00e9decine moderne, caract\u00e9ris\u00e9e par une grande capacit\u00e9 d&#039;information.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/tdm-tomodensitometrie\/\">TDM<\/span><\/strong> : permet d\u2019identifier abc\u00e8s, pseudo-an\u00e9vrismes, embolies et complications de l\u2019endocardite infectieuse.<\/li>\n<li><strong>TEP-TDM<\/strong> : d\u00e9tecte les zones d\u2019inflammation active et d\u2019infection ; particuli\u00e8rement utile en cas d\u2019endocardite proth\u00e9tique et en pr\u00e9sence de dispositifs.<\/li>\n<li><strong><span class=\"glossary-term\" data-title=\"IRM (imagerie par r\u00e9sonance magn\u00e9tique)\" data-tooltip=\"L&#039;imagerie par r\u00e9sonance magn\u00e9tique (IRM) est une technique moderne et non invasive de radiodiagnostic qui permet d&#039;obtenir des images en coupe des organes et des tissus internes. Cet examen repose sur le ph\u00e9nom\u00e8ne de r\u00e9sonance magn\u00e9tique nucl\u00e9aire. Le principal avantage de l&#039;IRM est l&#039;absence de rayonnements ionisants (radiation).\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/irm\/\">IRM<\/span> c\u00e9r\u00e9brale<\/strong> : r\u00e9v\u00e8le souvent des emboles multiples, m\u00eame en l\u2019absence de sympt\u00f4mes neurologiques.<\/li>\n<\/ul>\n<h3 id=\"criteres-de-duke\" class=\"wp-block-heading\">Crit\u00e8res de Duke<\/h3>\n<p class=\"wp-block-paragraph\">Les crit\u00e8res de Duke sont un sch\u00e9ma de diagnostic internationalement reconnu pour l\u2019endocardite infectieuse, combinant des donn\u00e9es cliniques, microbiologiques et d\u2019imagerie.<\/p>\n<p class=\"wp-block-paragraph\"><strong>Probabilit\u00e9 d\u2019IE<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Certitude \u2013 deux crit\u00e8res majeurs de Duke ; ou un crit\u00e8re majeur et trois mineurs ; ou cinq mineurs.<\/li>\n<li>Possible \u2013 un crit\u00e8re majeur et un \u00e0 deux mineurs ; ou trois mineurs.<\/li>\n<li>Exclu \u2013 pr\u00e9sence d\u2019un diagnostic alternatif ; absence de confirmation \u00e0 l\u2019autopsie ; ou r\u00e9solution compl\u00e8te des sympt\u00f4mes sans traitement.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><strong>Crit\u00e8res majeurs (major criteria)<\/strong><strong><\/strong><\/p>\n<ol class=\"wp-block-list\">\n<li>H\u00e9moculture positive (une des options suivantes) : <\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>deux ou plus de cultures sanguines positives de micro-organismes typiques (par ex., <em>S. aureus<\/em>, <em>S. viridans<\/em>, <em>Enterococcus spp<\/em>.) de diff\u00e9rents \u00e9chantillons ;<\/li>\n<li>h\u00e9moculture positive persistante : deux ou plus d\u2019\u00e9chantillons positifs \u00e0 intervalles \u2265 12 heures ;<\/li>\n<li>trois h\u00e9mocultures positives ou plus sur quatre, pr\u00e9lev\u00e9es en moins d\u2019une heure.<\/li>\n<\/ul>\n<ol start=\"2\" class=\"wp-block-list\">\n<li>Preuves de l\u00e9sion endocardique :<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>\u00e9choDoppler cardiaque positif (trans\u0153sophagienne ou transthoracique) : v\u00e9g\u00e9tation, abc\u00e8s, pseudo-an\u00e9vrisme, perforation ;<\/li>\n<li>r\u00e9apparition d\u2019une d\u00e9faillance (insuffisance) valvulaire.<\/li>\n<\/ul>\n<ol start=\"3\" class=\"wp-block-list\">\n<li>Crit\u00e8res alternatifs (ESC 2023) :<\/li>\n<\/ol>\n<ul class=\"wp-block-list\">\n<li>tEP-TDM ou SPECT positive en cas de suspicion d\u2019endocardite proth\u00e9tique ;<\/li>\n<li>culture positive provenant du mat\u00e9riel valvulaire perop\u00e9ratoire.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><strong>Crit\u00e8res mineurs (minor criteria)<\/strong><\/p>\n<ol class=\"wp-block-list\">\n<li>Maladie cardiaque pr\u00e9disposante ou consommation de drogues par voie intraveineuse.<\/li>\n<li>Fi\u00e8vre \u2265 38 \u00b0C.<\/li>\n<li>Ph\u00e9nom\u00e8nes vasculaires : embolies, infarctus, h\u00e9morragies, taches de Janeway.<\/li>\n<li>Ph\u00e9nom\u00e8nes immunologiques : nodosit\u00e9s d\u2019Osler, taches de Roth, glom\u00e9rulon\u00e9phrite, facteur rhumato\u00efde.<\/li>\n<li>R\u00e9sultats microbiologiques ne r\u00e9pondant pas aux crit\u00e8res de base : h\u00e9moculture positive unique ou confirmation s\u00e9rologique d\u2019une infection typique de l\u2019endocardite infectieuse.<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/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 id=\"traitement-de-l-endocardite-infectieuse\" class=\"wp-block-heading\">Traitement de l\u2019endocardite infectieuse<\/h2>\n<h3 class=\"wp-block-heading\" id=\"modification-des-facteurs-de-risque\">Modification des facteurs de risque<\/h3>\n<ul class=\"wp-block-list\">\n<li>Retrait ou remplacement des dispositifs et cath\u00e9ters infect\u00e9s.<\/li>\n<li>Assainissement des foyers d\u2019infection (dents, peau).<\/li>\n<li>Limitation des proc\u00e9dures invasives inutiles.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"therapie-medicamenteuse\">Th\u00e9rapie m\u00e9dicamenteuse<\/h3>\n<p class=\"wp-block-paragraph\">Principes :<\/p>\n<ul class=\"wp-block-list\">\n<li>doses \u00e9lev\u00e9es d\u2019antibiotiques bact\u00e9ricides ;<\/li>\n<li>traitement \u00e0 long terme (g\u00e9n\u00e9ralement 4 \u00e0 6 semaines) ;<\/li>\n<li>prise en compte de la CMI (concentration minimale inhibitrice) ;<\/li>\n<li>approche individualis\u00e9e pour les proth\u00e8ses, les abc\u00e8s et les souches r\u00e9sistantes.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Exemples de sch\u00e9mas th\u00e9rapeutiques (selon ESC 2023) :<\/p>\n<ul class=\"wp-block-list\">\n<li><em>Staphylococcus aureus<\/em> ( sensible \u00e0 la m\u00e9thicilline, MSSA) : oxacilline \/ nafcilline + gentamicine (la premi\u00e8re semaine) ; pour l\u2019endocardite proth\u00e9tique \u2013 ajout de rifampicine ;<\/li>\n<li><em>Staphylococcus aureus<\/em> (r\u00e9sistant \u00e0 la m\u00e9thicilline, MRSA) : vancomycine ; pour l\u2019endocardite proth\u00e9tique \u2013 ajout de rifampicine ;<\/li>\n<li><em>Streptococcus spp<\/em>. : p\u00e9nicilline G ou ceftriaxone \u00b1 gentamicine ;<\/li>\n<li><em>Enterococcus spp<\/em>. : ampicilline + gentamicine ou ampicilline + ceftriaxone (en cas de haut niveau de r\u00e9sistance \u00e0 la gentamicine).<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"therapie-chirurgicale\">Th\u00e9rapie chirurgicale<\/h3>\n<p class=\"wp-block-paragraph\"><strong>Indications<\/strong> :<\/p>\n<ul class=\"wp-block-list\">\n<li>insuffisance cardiaque due \u00e0 un dysfonctionnement valvulaire (r\u00e9gurgitation valvulaire s\u00e9v\u00e8re aigu\u00eb) ;<\/li>\n<li>infection incontr\u00f4l\u00e9e (abc\u00e8s, perforation, pseudo-an\u00e9vrisme, bact\u00e9ri\u00e9mie persistante de plus de 7 jours malgr\u00e9 une antibioth\u00e9rapie ad\u00e9quate) ;<\/li>\n<li>embolies r\u00e9currentes ou grosses v\u00e9g\u00e9tations avec \u00e9pisode d\u2019embolie (>10 mm), v\u00e9g\u00e9tations >15 mm, surtout en cas d\u2019endocardite gauche, m\u00eame sans embolies ;<\/li>\n<li>endocardite proth\u00e9tique;<\/li>\n<li>endocardite fongique ou caus\u00e9e par des micro-organismes extr\u00eamement r\u00e9sistants.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><strong>Contre-indications<\/strong> :<\/p>\n<ul class=\"wp-block-list\">\n<li>\u00e9tat g\u00e9n\u00e9ral d\u00e9compens\u00e9, d\u00e9faillance multivisc\u00e9rale ;<\/li>\n<li>accident vasculaire c\u00e9r\u00e9bral massif r\u00e9cent avec composante h\u00e9morragique.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><strong>Types de chirurgie<\/strong> : (dans la grande majorit\u00e9 des cas, les interventions sont r\u00e9alis\u00e9es sous circulation extracorporelle) :<\/p>\n<ul class=\"wp-block-list\">\n<li>remplacement de la valve affect\u00e9e ;<\/li>\n<li>ablation des v\u00e9g\u00e9tations, assainissement des abc\u00e8s ;<\/li>\n<li>interventions reconstructives (plastie des valves, des anneaux valvulaires, de la racine aortique) : en cas d\u2019atteinte de la racine aortique, le remplacement par un conduit (proth\u00e8se vasculaire avec valve artificielle) ou une homogreffe (valve de donneur humain avec un segment de l\u2019aorte ascendante) peut \u00eatre n\u00e9cessaire ;<\/li>\n<li>ablation des dispositifs infect\u00e9s : en cas d\u2019implication des \u00e9lectrodes ou du pacemaker, l\u2019ablation compl\u00e8te du syst\u00e8me est indiqu\u00e9e ; dans l\u2019endocardite sur valve implant\u00e9e par voie transcatheter, la chirurgie est souvent associ\u00e9e \u00e0 une mortalit\u00e9 \u00e9lev\u00e9e mais est indiqu\u00e9e si le traitement est inefficace.<\/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. Qu\u2019est-ce que l\u2019endocardite infectieuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">L\u2019endocardite infectieuse est une maladie inflammatoire de l\u2019endocarde (la paroi interne du c\u0153ur), affectant le plus souvent les valves, caus\u00e9e par une infection bact\u00e9rienne ou fongique.<\/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. Quels sont les sympt\u00f4mes les plus caract\u00e9ristiques de l\u2019IE ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les sympt\u00f4mes les plus fr\u00e9quents sont : fi\u00e8vre, frissons, fatigue, souffles cardiaques, perte de poids. Des complications sont possibles : AVC, embolies, insuffisance cardiaque.<\/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. Quelles sont les bact\u00e9ries les plus souvent en cause dans l\u2019IE ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les agents pathog\u00e8nes les plus courants sont : <em>Staphylococcus aureus, Streptococcus viridans, Enterococcus spp.<\/em> Chez les personnes porteuses de proth\u00e8ses ou de dispositifs intravasculaires, <em>Staphylococcus epidermidis<\/em> est souvent retrouv\u00e9.<\/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. Pourquoi l\u2019endocardite infectieuse est-elle dangereuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">L\u2019IE peut conduire \u00e0 la destruction des valves, \u00e0 l\u2019insuffisance cardiaque, \u00e0 des complications emboliques (accidents vasculaires c\u00e9r\u00e9braux, infarctus d\u2019organes), abc\u00e8s et sepsis. La mortalit\u00e9 peut atteindre 20 \u00e0 30 %.<\/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. Peut-on gu\u00e9rir de l\u2019IE sans chirurgie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, dans certains cas \u2014 surtout avec des valves natives et des micro-organismes sensibles \u2014 une gu\u00e9rison compl\u00e8te avec des antibiotiques est possible. Cependant, en cas de complications, la chirurgie peut \u00eatre n\u00e9cessaire.<\/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. Quand la chirurgie est-elle n\u00e9cessaire pour l\u2019IE ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La chirurgie est indiqu\u00e9e pour : <br \/>\u2022 insuffisance cardiaque due \u00e0 une dysfonction valvulaire ; <br \/>\u2022 abc\u00e8s, ruptures, perforations ; <br \/>\u2022 antibioth\u00e9rapie inefficace ; <br \/>\u2022 infection fongique ; <br \/>\u2022 embolies r\u00e9currentes.<\/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. Combien de temps dure le traitement antibiotique ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La dur\u00e9e du traitement est g\u00e9n\u00e9ralement de 4 \u00e0 6 semaines, selon le pathog\u00e8ne, le type de valve (native ou proth\u00e9tique) et les complications.<\/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. Peut-on pr\u00e9venir l\u2019endocardite infectieuse ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Oui, chez les patients \u00e0 risque (par exemple, avec des proth\u00e8ses valvulaires), une antibioprophylaxie est recommand\u00e9e avant certaines proc\u00e9dures dentaires ou chirurgicales.<\/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. Qui est \u00e0 haut risque pour l\u2019IE ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les personnes avec des valves proth\u00e9tiques, des pacemakers, une IE ant\u00e9rieure, des malformations cardiaques cong\u00e9nitales, ainsi que les patients en h\u00e9modialyse et les utilisateurs de drogue.<\/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=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/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 Anatomie et Pathologie \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]. VOKA 3D Anatomy & Pathology (VOKA 3D Anatomie et Pathologie). <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse suivante\u00a0: 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. Endocardite infectieuse. Lancet. 2024 Jul 27;404(10450):377-392. 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. Endocardite infectieuse: une mise \u00e0 jour contemporaine. 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. Consid\u00e9rations de gestion dans l\u2019endocardite infectieuse : une revue. 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. Endocardite infectieuse chez l\u2019adulte : diagnostic, traitement antimicrobien et gestion des complications : une d\u00e9claration scientifique pour les professionnels de la sant\u00e9 de l\u2019American 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. Endocardite infectieuse: \u00e9pid\u00e9miologie, physiopathologie et histopathologie. Presse Med. mai 2019 ; 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. Endocardite infectieuse sur valve native. N Engl J Med. 2020 ao\u00fbt 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. Endocardite infectieuse\u2014mise \u00e0 jour pour le clinicien p\u00e9riop\u00e9ratoire. J Cardiothorac Vasc Anesth. 2023 avr;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>L&rsquo;endocardite infectieuse (EI) est une maladie potentiellement mortelle, associ\u00e9e \u00e0 une inflammation de l&rsquo;endocarde, principalement de l&rsquo;appareil valvulaire du c\u0153ur, due \u00e0 une invasion microbienne. Malgr\u00e9 le d\u00e9veloppement de l&rsquo;antibioth\u00e9rapie et des techniques d&rsquo;imagerie modernes, le taux de mortalit\u00e9 du nombre total de patients reste \u00e9lev\u00e9. \u00c9pid\u00e9miologie L&rsquo;incidence de l&rsquo;endocardite infectieuse varie de 3 \u00e0 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"template":"","diseases_category":[230],"class_list":["post-621","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-cardiologie"],"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 infectieuse : sympt\u00f4mes, causes, classification, traitement.<\/title>\n<meta name=\"description\" content=\"L&#039;endocardite infectieuse est une inflammation dangereuse de l&#039;endocarde du c\u0153ur, entra\u00eenant des l\u00e9sions des valves. 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