Concerns About Symptoms Similar to Endocarditis After Dental Work - Cardiology

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Symptoms similar to endocarditis are concerning?


Hello Doctor, I had a tooth extraction last week and informed the doctor about my mild mitral valve prolapse.
The doctor prescribed antibiotics, which I have completed.
However, the weather has been colder these past three days, and today I feel a bit unwell (not sure if it's due to autonomic nervous system dysregulation and climate factors).
I seem to have a slight fever (it feels intermittent).
The extraction site was larger and required sutures, which were only removed a few days ago.
On the day of the extraction, I accidentally ate food that had fallen on the floor because I didn't want to waste it, but I later vomited it out (I had already finished the antibiotics by then).
Since my symptoms resemble those of endocarditis, I am very worried about the possibility of an infection.
What should I do, Doctor?

Nìmíng, 20~29 year old female. Ask Date: 2017/02/25

Dr. He Dongjin reply Cardiology


Hello, it is reasonable to observe that you may have a slight fever after tooth extraction.
The likelihood of endocarditis is low, and it is unlikely to develop so quickly.
There is no need to worry.
Changhua Hospital cares about your well-being.

Reply Date: 2017/02/25

More Info


Concerns about symptoms similar to endocarditis after dental work are valid, especially for individuals with pre-existing heart conditions such as mitral valve prolapse. Endocarditis is an infection of the inner lining of the heart chambers and valves, and it can occur when bacteria enter the bloodstream, often following invasive procedures like dental work.
In your case, you mentioned that you had a tooth extraction and were prescribed antibiotics due to your mild mitral valve prolapse. It’s important to note that while antibiotics are often prescribed to prevent endocarditis in patients with certain heart conditions undergoing dental procedures, the risk of developing endocarditis immediately after a dental procedure is relatively low, especially if you have taken the prescribed antibiotics as directed.

The symptoms you are experiencing, such as feeling unwell and having intermittent fever, could be attributed to various factors, including the body’s response to the dental procedure, the healing process, or even environmental factors like the cold weather. It’s also possible that anxiety or stress related to your health concerns could be contributing to your symptoms.
Here are some steps you can take to address your concerns:
1. Monitor Your Symptoms: Keep a close eye on your symptoms. If the fever persists or worsens, or if you develop new symptoms such as persistent cough, shortness of breath, or severe fatigue, it would be prudent to seek medical attention.

2. Consult Your Dentist or Physician: Given your history and current symptoms, it would be wise to reach out to your dentist or primary care physician. They can evaluate your symptoms in the context of your recent dental work and your heart condition. They may recommend further tests, such as blood cultures or an echocardiogram, to rule out endocarditis.

3. Rest and Hydration: Ensure you are getting adequate rest and staying hydrated. This can help your body recover from the dental procedure and any potential minor infections.

4. Avoid Risky Behaviors: It’s best to avoid consuming food that has fallen on the ground, as this can introduce bacteria into your system, especially when your immune system may be slightly compromised after a procedure.

5. Follow-Up Care: If you experience any worsening of your symptoms or new symptoms, do not hesitate to seek immediate medical attention. It’s always better to err on the side of caution, especially when it comes to heart health.

In summary, while your symptoms may be concerning, they do not necessarily indicate endocarditis, especially if you have been compliant with your antibiotic regimen. However, staying vigilant and consulting with your healthcare providers is essential to ensure your health and safety.

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