ISSN: 0973-7510

E-ISSN: 2581-690X

Yahya Islamoglu1 , Enbiya Aksakal2, Zekeriya Kaya3, Zuhal Atilgan1, Fethullah Kayan1, Sumen Sunbul3, Kamuran Kalkan2 and Sait Alan1
1Department of Cardiology, Universty of Dicle Medical Center, 21280 Diyarbakir, Turkey.
2Department of Cardiology, Universty of Ataturk Medical Center, Diyarbakir, Turkey.
3Department of Cardiology, Universty of Harran Medical Center, Diyarbakir, Turkey.
J Pure Appl Microbiol. 2012;6(2):571-576
© The Author(s). 2012
Received: 03/08/2011 | Accepted: 10/09/2011 | Published: 30/06/2012
Abstract

The present study aimed to evaluate general features of infective endocarditis (IE) in multiple tertiary university hospital. The study included 44 patients (23 women, 21 men; mean age 44±19 years; range 15 to 85 years) who were diagnosed as having definite IE, according to the modified Duke criteria, between June 2007 and June 2011. Data were reviewed on age, sex, underlying heart disease, echocardiographic and microbiological findings, treatment, complications, and mortality. Infective endocarditis developed on a native valve in 30 (72.7%), a mechanical prosthetic valve in 12 (27.3%). Prosthetic valves 12 (27.3%) were the most common preexisting valvular abnormality. The mitral valve was the most commonly affected valve in both native valves (50%) and prosthetic valves (66.6%). The most frequent symptom was fever (n=27, 61.4%). Electrocardiography showed abnormal findings in 22 cases (50%). Transthoracic and/or transesophageal echocardiography showed a vegetation in 41 cases (93.2%), and absce 3 cases (6.8%). Staphylococci (29.6%) and streptococci (25%) were the most common causative agents ,and Brucella were 15.9%. Cultures were negative in 7 cases (15.9%). Nine patients (20.4%) underwent surgical treatment. Embolic events (n=6, 35.3%) were the major complications. In-hospital mortality occurred in 6 cases (13.6%). The data reflect epidemiological, clinical, and microbiological profile of IE in multiple tertiary hospital located in the South-eastern and Eastern Anatolia.

Keywords

Infective endocarditis, Heart valves, Staphylococcal infections, Streptococcal infections

Article Metrics

Article View: 877

Share This Article

© The Author(s) 2012. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License which permits unrestricted use, sharing, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.