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Published on: January 7, 2019
Infective endocarditis and complications; a single center experience
Olcay Ozveren1, Mehmet Akif Oztürk2, Cihan Sengül3
1Department of Cardiology, Yeditepe University Faculty of Medicine, İstanbul, Turkey.
Insights
Infective endocarditis (IE) remains a significant concern, often presenting with fever and malaise. Staphylococcus aureus was a common cause in culture-positive cases, highlighting the need for effective management strategies.
Area of Science:
- Cardiology
- Infectious Diseases
- Microbiology
Background:
- Infective endocarditis (IE) poses a substantial clinical challenge.
- Understanding IE's microbiological profile and complications is crucial for patient outcomes.
Purpose of the Study:
- To investigate the microbiological characteristics of infective endocarditis (IE).
- To identify common complications associated with IE in a patient cohort.
- To analyze clinical and microbiological properties of IE patients.
Main Methods:
- Retrospective review of 119 patients diagnosed with IE between 1997 and 2004.
- Diagnosis confirmed using modified Duke criteria.
- Systematic analysis of clinical data, microbiological findings, and complications.
Main Results:
- Fever and malaise were the most frequent symptoms (85.7%).
- Blood cultures were negative in 57.1% of cases; Staphylococcus aureus was the most common pathogen in positive cultures.
- The aortic valve was the most affected site (36.1%); high rates of surgical intervention (75.6%) and congestive heart failure (53.8%) were observed.
Conclusions:
- Infective endocarditis (IE) continues to be a serious disease with significant morbidity and mortality.
- Increased life expectancy and valve replacement procedures underscore the persistent impact of IE.
- Further research into IE's microbiological agents and management is warranted.
Objectives:
The aim was to investigate the microbiological characteristics and complications of infective endocarditis (IE) in 119 patients treated in our center for IE, diagnosed by modified Duke criteria.
Study Design:
The archive records of 119 patients (82 [69%] males; 37 [31%] females; mean age 39 ± 16 years) with a definite diagnosis of IE between January 1997 and November 2004 were systematically reviewed for clinical and microbiological properties and complications.
Results:
The most common complaint of the patients was fever and malaise (102 patients, 85.7%, each). Culture was negative in 68 patients (57.1%), while Staphylococcus aureus was the most common etiological agent in culture positive cases. The aortic valve was the most common region of vegetation (43 patients, 36.1%). The frequency of surgical operation for valvular insufficiency due to IE was 75.6%, and the frequency of congestive heart failure was 53.8% (64 patients).
Conclusion:
IE is still an important disease considering its high morbidity and mortality rates, increased life expectancy of the patients, and increased number of valve replacement procedures.
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