Endocarditis

Heart diagram with labels in English. Blue com...

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BP takes a long hard look at INFECTIVE ENDOCARDITIS, a potentially life-threatening infection of the heart valve. Mainly caused by bacteria entering the skin through injecting, IE can be extremely unpleasant and has a nasty habit of ironing you out completely if left untreated. Know the signs & symptoms.

Although relatively uncommon in comparison to most health problems intravenous drug users encounter, it is extremely important for us to be aware of infective endocarditis (IE) for several reasons:

First of all, Infective Endocarditis has a high mortality rate, and almost always kills the patient if left untreated;

Secondly, it is often preventable. Knowledge of the symptoms of IE, early diagnosis and correct manage­ment are what makes all the difference to your recovery.

And thirdly, a hygienic injecting regime is crucial when avoiding the types of bacteria that cause endocarditis.

In most cases, these organisms are streptococci (“strep”), staphylococci (“staph”) or members of other species of bacteria that normally live on body surfaces, entering the bloodstream through a break in the skin, as happens through injecting,

What is it?

Explaining what endocarditis is requires a little translation of the name; endo- means inside, -card- refers to the heart (like ‘cardiac’) and the -itis bit signifies a process of inflammation. Combining all three gives you an inflammation of the inside of the heart, usually caused by an infection, but occasionally by a fungus.

To read the rest of the article (which appeared in Black Poppy Issue 8) click here

Clostridium

Remember the news that seems to pop up each year concerning contaminated heroin? Dozens of injecting drug users have died over the years from contaminated heroin containing the bactrium Clostridium. And while it is still reasonably rare – it DOES HAPPEN with reasonable regularity and we see no reason why such a bacteria would stop any time soon. There are things you can do to keep aware of it though. Be sure to check out info on Anthrax as well (being another emerging poison affecting injecting drug users – and it seems heroin smokers as well.)

If you are an intravenous or intramuscular injector – this concerns you.

The bacteria (Clostridium) has been present in a few batches of contaminated heroin over the last few years, which appeared to particularly affect people who either injected into the muscle, skin-popped, or who missed a vein when injecting. Tragically, around 35 drug users have died as a result so far.

Over the last 10 years, various outbreaks have occurred affecting drug users in Dublin, Glasgow and London as they began turning up in surgeries and hospitals, exhibiting very similar symptoms to each other. It was initially thought that the same batch of heroin had been ‘retrieved’, mixed with different gear to disguise the ‘look’ and put back out on the street for re-sale.

This was a Black Poppy leaflet, to read the rest, click here.

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