Infective Endocarditis: A Case Series
| Autor: | Dharmraj Singh, Sarvesh Pal Singh |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Aortic valve
medicine.medical_specialty Native Valve Endocarditis Atypical bacteria biology business.industry Incidence (epidemiology) 030204 cardiovascular system & hematology medicine.disease biology.organism_classification Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure Infective endocarditis medicine Endocarditis Staphylococcus haemolyticus 030212 general & internal medicine Abscess business |
| Zdroj: | Journal of Cardiac Critical Care TSS. 4:156-160 |
| ISSN: | 2456-9224 |
| DOI: | 10.1055/s-0040-1716610 |
| Popis: | Infective endocarditis (IE) is an infection of the endocardial surface of the heart. The incidence of IE worldwide is approximately 3 to 10 per 100,000 people annually. Twenty percent of patients die during the hospital stay, and the mortality may reach 25 to 30% six months postinfection. We hereby present our experience of six patients, of whom five survived. The cause of one death was late presentation and lack of coverage for Burkholderia in the prescribed empirical antibiotic therapy. One of our patients, with culture-negative endocarditis, responded to doxycycline and did not require any surgery. Five out of six patients who underwent surgery had vegetations more than 10 mm in size, and one patient had an aortic valve abscess (caused by Staphylococcus haemolyticus). Both prosthetic endocarditis and native valve endocarditis can be treated successfully with antimicrobial agents and surgery (when indicated). A high index of suspicion is required to diagnose IE caused by fungus and atypical bacteria. |
| Databáze: | OpenAIRE |
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