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PubMed · 11168109

Multi-valvular endocarditis.

N Kim·J M Lazar·B A Cunha·W Liao·V Minnaganti
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Abstract

OBJECTIVE: Seventy-seven cases of native valve infective endocarditis as determined by the Duke criteria, were reviewed to determine the incidence and clinical features of multi-valvular endocarditis. METHODS: Fourteen of 77 patients (18%) had multi-valvular endocarditis most commonly involving the mitral and aortic valves. Staphylococcus aureus (43%) and viridans streptococci (36%) were the most common organisms causing multi-valvular endocarditis. RESULTS: Definite or probable vegetations were found in 50% of the patients by two-dimensional transthoracic echocardiograph and/or transesophageal echocardiograph, and possible vegetations were detected in 21%. The overall mortality in our series was 21%; 29% underwent valve replacement and 50% were treated medically. The major complications of multi-valvular endocarditis were congestive heart failure (64%), acute renal failure (50%), embolic events (21%), and splenic abscess/infarcts (21%). CONCLUSIONS: Our data suggests complications of multi-valvular endocarditis, compared with uni-valvular endocarditis are similar except for heart failure. Heart failure is statistically more common in multi-valvular endocarditis (P < or = 0.002).

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Acute Kidney InjuryAdultAgedAged, 80 and overEchocardiographyEndocarditis, BacterialFemaleHeart FailureHumansIncidenceMaleMiddle AgedRetrospective StudiesStaphylococcal InfectionsStaphylococcus aureusStreptococcal InfectionsStreptococcusJournal Article

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N Kim, J M Lazar, B A Cunha, W Liao, V Minnaganti. 2000. Multi-valvular endocarditis.. https://doi.org/10.1046/j.1469-0691.2000.00065.x

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