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Cirugía y cirujanos
On-line version ISSN 2444-054XPrint version ISSN 0009-7411
Abstract
FLORES-MORALES, Abelardo et al. Infectious endocarditis without intracardiac devices or underlying structural heart disease. Cir. cir. [online]. 2023, vol.91, n.4, pp.535-541. Epub Oct 30, 2023. ISSN 2444-054X. https://doi.org/10.24875/ciru.21000666.
Objective:
To describe clinical, microbiological and echocardiographic aspects of endocarditis in a specific group of patients without intracardiac devices or underlying structural heart disease.
Method:
Retrospective study, clinical records and echocardiographic reports were reviewed during the period 1997 to 2020. Duke’s modified criteria were applied. Statistical analysis: univariate expressed in frequencies, using measures of dispersion and central tendency.
Results:
30,000 echocardiographic reports were reviewed, only 1350 had infectious endocarditis as a reason for sending, of which 248 cases were selected. The mean age was 48.1 ± 16.7 years. 140 men (56%) and 108 women (44%). The most frequent echocardiographic sign was vegetation, in 278 (93.60%), and most common location was mitral (35.55%), with a higher number of cases in the right ventricle than expected. The most common systemic disease was kidney disease, in 135 (41.08%). A case of Streptococcus thoraltensis not previously reported in Mexico was identified.
Conclusions:
The presence of infectious endocarditis has increased due to invasive in-hospital and drug procedures. Due to their complexity, multidisciplinary teams are indispensable.
Keywords : Endocarditis; Infectious endocarditis; Vegetation.