1 Exotoxins are proteins released by both Gram-positive and Gram-negative bacteria. 2  all major Gram-positives produce exotoxin. 3  except Listeria monocytogenes (produces endotoxin). 4  exotoxins are not heat stable.
Endocarditis (EN-do-kar-DI-tis) is an infection of the inner lining of the heart chambers and valves. This lining is called the endocardium (en-do-KAR-de-um). The condition also is called infective endocarditis (IE). The term endocarditis also is used to describe an inflammation of the endocardium due to other conditions. This article only discusses endocarditis related to infection. IE occurs if bacteria, fungi, or other germs invade your bloodstream and attach to abnormal areas of your heart.
Bacterial endocarditis. Bacterial endocarditis is an infection of the lining of the heart. This infection can occur in any person (infant, child, or adult) who has heart disease present at birth (congenital heart disease), or can occur in people without heart disease.acterial endocarditis occurs when bacteria (germs) enter the bloodstream and lodge inside the heart, where they multiply and cause infection. A normal heart has a smooth lining, making it difficult for bacteria to stick to it.