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Health Awareness

Infective Endocarditis: What You Need to Know About This Heart Infection

Endocarditis is a serious infection of the heart's inner lining and valves. Dr. Nikhila Pachani from Rajkot explains what causes it, who is at risk, and why acting early can protect your heart.

Infective Endocarditis: What You Need to Know About This Heart Infection

Endocarditis may not be a word you hear every day, but it is a condition that every family should be aware of. Dr. Nikhila Pachani, Consultant Interventional Cardiologist at Backbone Medicity Hospital in Rajkot, Gujarat, recently shared an important awareness video explaining what infective endocarditis is, how it happens, and why catching it early makes a real difference.

What Is Endocarditis?

Endocarditis is an infection of the inner lining of the heart and its valves. The heart has four valves that keep blood flowing in the right direction. When bacteria or other germs infect this lining, the valves can get damaged, making it harder for the heart to do its job properly.

How Does It Happen?

Bacteria can enter the bloodstream through:

  • Open wounds or cuts that are not properly cleaned
  • Dental procedures, especially if oral hygiene is poor
  • Skin infections or other infections elsewhere in the body

Once in the bloodstream, these bacteria can travel to the heart and settle on the valves or inner lining.

Who Is at Higher Risk?

People who already have damaged heart valves or artificial (prosthetic) valves face a higher risk of developing endocarditis. Those with a history of rheumatic heart disease or congenital heart conditions should be especially careful and inform their dentist or doctor before any procedure.

What Are the Warning Signs?

Endocarditis can sometimes be mistaken for a simple fever or flu. Common symptoms include:

  • Prolonged or unexplained fever (also called Pyrexia of Unknown Origin or PUO)
  • Fatigue and weakness
  • Shortness of breath
  • Heart murmur (an unusual sound the doctor hears through a stethoscope)

If you or a family member has had a heart valve problem in the past and develops an unexplained fever that does not go away, it is important not to ignore it.

Why Early Treatment Matters

When endocarditis is caught early, it can often be treated effectively with a course of antibiotics. Delaying treatment, however, can lead to serious damage to the heart valves and other complications. Early action genuinely protects the heart.


If you have a history of heart valve disease, an artificial valve, or are experiencing unexplained fever with fatigue, please consult a qualified cardiologist promptly. You can book a consultation with Dr. Nikhila Pachani at Backbone Medicity Hospital, Rajkot.

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