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Question

Acute aortic regurgitation occurs in:

The correct answer is
Infective endocarditis

Causes of Acute Aortic Regurgitation

Acute aortic regurgitation (AR) is a serious condition where the aortic valve doesn't close properly, allowing blood to leak back into the left ventricle from the aorta.

  • Infective Endocarditis: This is a primary cause of acute aortic regurgitation. Infection damages the leaflets of the aortic valve, causing rapid destruction and severe regurgitation. The infection can directly destroy valve tissue or lead to large vegetations that impede valve closure.
  • Other conditions like Ankylosing spondylitis, Marfan's syndrome, and Rheumatoid arthritis are more commonly associated with chronic aortic regurgitation due to gradual changes in the valve or aorta, rather than acute destruction.

Therefore, infective endocarditis is a direct and common cause of acute aortic regurgitation.

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Important Questions from Bacterial Infections

  1. A 21-year young man presents in emergency with high grade fever with inflammation of knee and ankle joints which is fleeting in nature. There is history of occasional palpitations. There is no history of antecedent sore throat. On examination, splenomegaly is present. The ECG shows prolongation of PR interval. What is the most likely diagnosis in India?
  2. Long term use of proton pump inhibitor in elderly puts the patient at risk of which of the following?
    1. Community acquired pneumonia
    2. Clostridium difficile associated disease
    3. Urinary tract infection
    Select the correct answer using the code given below:
  3. Which of the following features are characteristics of Whipple disease?
    1. Migratory small joint arthropathy
    2. Diarrhoea with steatorrhea
    3. Weight loss with Arthralgia
    4. Ophthalmic and CNS symptoms
    Select the correct answer using the code given below:
  4. Which of the following infections does NOT cause cold antibodies immune haemolysis?
  5. A 22-year old male is admitted with fever and altered consciousness for two days. Examination reveals nuchal rigidity and diffuse petechial rash on the trunk and lower extremities. The most likely etiologic agent is:
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