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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1988-7-8
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pubmed:abstractText |
Microbiological features, diagnostic investigations, treatment, and complication rate in 53 cases of infective endocarditis were reviewed in this study. Infection occurred both on prosthetic (47%) and native valves (38%), while in 15% of the cases no prior valvular disease was known. Streptococcal (38%) and staphylococcal (30%) infections were predominant. In 17% of the cases apparent negative blood cultures were obtained. The most frequent portal of entry was dental infection or manipulation (45%), however in 28% of the patients etiology remained obscure. Major clinical signs and symptoms included heart murmurs (96%), fever (91%), dyspnoea (32%), and splenomegaly (30%). Echocardiography revealed vegetations in 78%, aortic and mitral valve being nearly equally affected. All patients were medically treated and 53% received antibiotics prior to blood cultures. Associations of ampicillin or penicillin with an aminoglycoside (43%) and penicillinase-resistant antibiotics (30%) were most frequently administered. In 28% of the patients, it was necessary to insert a prosthetic (aortic or mitral) valve. During follow-up, heart failure (28%), embolization (11%), and infections (11%) were the major complications.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0001-5385
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
43
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
121-32
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pubmed:dateRevised |
2009-6-11
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pubmed:meshHeading |
pubmed-meshheading:3259778-Adult,
pubmed-meshheading:3259778-Aged,
pubmed-meshheading:3259778-Anti-Bacterial Agents,
pubmed-meshheading:3259778-Echocardiography,
pubmed-meshheading:3259778-Endocarditis, Bacterial,
pubmed-meshheading:3259778-Female,
pubmed-meshheading:3259778-Heart Valve Prosthesis,
pubmed-meshheading:3259778-Humans,
pubmed-meshheading:3259778-Male,
pubmed-meshheading:3259778-Middle Aged,
pubmed-meshheading:3259778-Staphylococcal Infections,
pubmed-meshheading:3259778-Streptococcal Infections
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pubmed:year |
1988
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pubmed:articleTitle |
A six years review on 53 cases of infective endocarditis: clinical, microbiological and therapeutical features.
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pubmed:affiliation |
Department of Cardiology, University Hospital, Gent, Belgium.
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pubmed:publicationType |
Journal Article
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