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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
8
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pubmed:dateCreated |
1983-6-10
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pubmed:abstractText |
Four cases of bacterial endocarditis (BE) complicating hypertrophic obstructive cardiomyopathy (HOCM) were observed between 1978 and 1980. The causal organism was a streptococcus in all cases and the portal of entry, dental. The mitral regurgitation (MR) observed in HOCM as an epiphenomenon of the obstruction became autonomous in 2 patients as shown by phonocardiography with methoxamine. In one case, the MR became severe and justified mitral valve replacement; at surgery, the chordal rupture suspected on echocardiography was confirmed. Antibiotic therapy was effective on the infectious process in all cases. However, 2 of the 4 patients died, one of thrombosis of the mitral prosthesis on the 15th postoperative day, and the other of a cerebrovascular accident. None of the patients had a detectable aortic or septal infectious lesion. Eight of 27 reported cases (30 p 100) of HOCM complicated by BE were operated; 10 (37 p. 100) died as a result of the endocarditis. These cases underline the incidence of BE in HOCM (5 p. 100) its gravity and the necessity for systematic antibiotic prophylaxis, especially before dental treatment.
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pubmed:language |
fre
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0003-410X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
133
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
557-60
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:6892094-Adult,
pubmed-meshheading:6892094-Anti-Bacterial Agents,
pubmed-meshheading:6892094-Cardiomyopathy, Hypertrophic,
pubmed-meshheading:6892094-Dental Care,
pubmed-meshheading:6892094-Echocardiography,
pubmed-meshheading:6892094-Endocarditis, Bacterial,
pubmed-meshheading:6892094-Female,
pubmed-meshheading:6892094-Humans,
pubmed-meshheading:6892094-Male,
pubmed-meshheading:6892094-Middle Aged,
pubmed-meshheading:6892094-Mitral Valve Insufficiency,
pubmed-meshheading:6892094-Phonocardiography,
pubmed-meshheading:6892094-Premedication,
pubmed-meshheading:6892094-Prognosis,
pubmed-meshheading:6892094-Streptococcal Infections
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pubmed:year |
1982
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pubmed:articleTitle |
[Obstructive hypertrophic myocardiopathy and Osler's endocarditis].
|
pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|