Is An Herbal Supplement Good for Long-Term Management of Asthma?


A patient comes to your office for a hospital follow-up. You had sent him to the hospital three weeks earlier for persistent fevers but no other symptoms; he was diagnosed with infective endocarditis and is currently being treated appropriately.
Advice to this family should now include which of the following?

A. Restrict the child from all strenuous activities

B. Give the child a no-salt-added diet

C. Provide the child with antibiotic prophylaxis for dental procedures

D. Test all family members in the home with repeated blood cultures

E. Avoid allowing the child to get upset or agitated


Answer / Explanation:

The answer is c, Provide the child with antibiotic prophylaxis for dental procedures.

Treatment of infective endocarditis usually consists of 4 to 6 weeks of appropriate antimicrobial therapy. Activity is not usually limited unless there is extensive destruction of heart muscle or the conducting system leading to failure. Minimizing salt intake is generally a good idea, but not any more so in an individual who has endocarditis. Bed rest should be instituted only in the case of heart failure. Family members are not typically at risk. Antimicrobial prophylaxis prior to and after dental cleaning is indicated.