Bacterial Endocarditis at a Small Community Hospital
1990; Elsevier BV; Volume: 299; Issue: 2 Linguagem: Inglês
10.1097/00000441-199002000-00002
ISSN1538-2990
AutoresEmery L. Kim, Diane L. Ching, Francis D. Pien,
Tópico(s)Streptococcal Infections and Treatments
ResumoClinical features, microbiology, and predisposing factors are described in 56 patients with bacterial endocarditis (BE) treated over a 12-year period at a small community hospital in Hawaii. The average age of patients was 52.0 years. The mean duration of symptoms was 28.8 days (range 1 to 240 days). Streptococci was the most frequently identified causative organism, present in 61% of the cases. Gram-negative bacilli were isolated from six patients (11%). Fourteen patients (25%) required cardiac surgery; the most common condition leading to surgery was severe valvular insufficiency, followed by congestive heart failure and recurrent embolism. Eighty-two percent of the patients in the series survived. The leading causes of death were congestive heart failure and cerebrovascular accidents.
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