Pneumococcal endocarditis.

Abstract:

:Among 369 patients with native valve infective endocarditis observed during a 14-year period, 17 were related to S: pneumoniae. Fourteen of them were observed in the last 7 years. At the time of admission 13 exhibited purulent meningitis, 6 of them being comatose. An apparent portal of entry was present in 13 patients including Pneumonia (n = 11) and otitis media (n = 2). Major alcoholism was present in 6 cases. The mean delay between the onset of fever and the discovery of the cardiac murmur was 15 days (range 1 to 60). Twelve patients exhibited congestive heart failure with acute pulmonary oedema in 9. The aortic valve was involved in 12 and the mitral valve in 7 (in 2 patients both mitral and aortic valves were involved). Myocardial and/or annular abscesses were found in 7 patients. Nine patients underwent surgical procedure (3 died) whereas 6 comatose patients were not operated on and died. The overall mortality was 59%. Although antibiotics are effective, the severity of anatomical lesions leads to prompt surgical treatment. The high mortality is mainly due to purulent meningitis.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Wolff M,Regnier B,Witchitz S,Gibert C,Amoudry C,Vachon F

doi

10.1093/eurheartj/5.suppl_c.77

subject

Has Abstract

pub_date

1984-10-01 00:00:00

pages

77-80

eissn

0195-668X

issn

1522-9645

journal_volume

5 Suppl C

pub_type

杂志文章
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