[Vascular complications of infective endocarditis: a retrospective analysis of 18 cases]. / Les complications vasculaires de l'endocardite infectieuse.
J Mal Vasc
; 27(2): 82-7, 2002 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-12015485
ABSTRACT
OBJECTIVES:
Among 82 patients hospitalized for infective endocarditis between June 1995 and June 2001 at the cardiology B unit of the Rabat University Hospital Morocco, 18 (22%) had one or more vascular complications. We present here a retrospective analysis. PATIENTS ANDMETHODS:
The cohort included 12 men and 6 women, mean age 22 years. Infective endocarditis had grafted on a pre-existing cardiopathy among 17 patients rheumatic heart disease (n=14), mechanical prosthetic valve (n=2), congenital heart disease (n=1).RESULTS:
For 12 patients, vascular disease was the only complication, 1 had two complications and 4 three complications. This gave 26 lesions 11 neurological complications, 10 arterial diseases involving the limbs including 5 mycotic aneurysms, 2 acute myocardial infarcts, 2 splenic infarcts, and 1 recurrent septic pulmonary embolism. Vascular disease was the inaugural manifestation in 9 patients and 54% of the complications occurred before the end of the second week of antibiotic treatment. Blood cultures were positive in 7 patients (40%). Oral streptococcus was isolated in 5 cases, Gram-negative bacillus in 1 case and Staphylococcus aureus in 1. Echography revealed valvular vegetations in the 16 cases of infective endocarditis on native valves mitral (n=9), aortic (n=5), mitroaortic (n=1), tricuspid (n=1). Short term outcome was marked by 4 deaths including 3 directly related to the vascular complication.DISCUSSION:
We emphasize the variable and diverse features of vascular complications of infective endocarditis. Prevention and early diagnosis are essential to institute optimal management of infective endocarditis.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doenças Vasculares
/
Endocardite Bacteriana
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adolescent
/
Adult
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
J Mal Vasc
Ano de publicação:
2002
Tipo de documento:
Article
País de afiliação:
Marrocos