Clinical and laboratory findings in a series of cases of infective endocarditis

Abstract

Objective: To describe clinical and laboratory data of infective endocarditis (IE) in 28 children from Vitória, state of Espírito Santo, Brazil. Methods: We reviewed the medical records of 28 children aged 18 years and under admitted to the Infectious Diseases Unit of Nossa Senhora da Glória Children's Hospital with a diagnosis of IE from January 1993 to December 2001. The diagnosis of IE was based on the criteria established by the

Evaluation of epidemiological, clinical, and microbiological features of definite infective endocarditis

“…Also, in spite of the high prevalence of vegetation among the patients, the clinical signs were not seen in all patients indicating that clinical signs can not be the key to the essential diagnosis of cardiac involvement and therefore, radiologic studies like echocardiography are necessary for its determination. In our study, similar to a study conducted by Pereira et al, TEE indicated vegetation in all patients [29] as it was observed in our 20 patients. The mitral valve was most frequently (40%) involved followed by the aortic valve (35%) and tricuspid valve (25%).…”

“…Furthermore, in the studies carried out in India, Pakistan, and Saudi Arabia, the rate of affliction with IE was higher in men compared to women [21], [22], [24]. In our study, fever was the most frequent clinical sign in patients, which is similar to other studies [13], [18], [23], [28], [29], [30], [31]. Also, in spite of the high prevalence of vegetation among the patients, the clinical signs were not seen in all patients indicating that clinical signs can not be the key to the essential diagnosis of cardiac involvement and therefore, radiologic studies like echocardiography are necessary for its determination.…”

“…Nevertheless, unlike our study, a study published by Netzer et al reported that the aortic, mitral, and tricuspid valves were involved by 39%, 21%, and 2%, respectively [33]. Moreover, in the study of Pereira et al, the tricuspid valve (25%) and the mitral valve (25%) showed the highest involvement [29]. Regarding these findings, it could be concluded that TEE as a sensitive method can play a significant role in diagnosis of IE [34], [35].…”

Clinical study of infective endocarditis in children: a 3 years experience from MGM Hospital, Warrangal

“…Some studies evaluated the utility of other minor factors that improve the sensitivity of Duke criteria Piere et al have reported that inclusion of some factors as minor criteria such as splenomegaly, petechiae or purpuric rashes, microscopic hematuria and a high CRP value > 100 mg/L would improve the sensitivity of the criteria specially in patients with fever [19].…”

Deri lezyonlu enfektif endokardit olgusu

“…İnfektif endokardit (İE), çoğunlukla daha önceden bir kardiyak anomaliye sahip kişilerde, septal defekt veya korda tendinealar üzerinde, kalbin bir odacığını veya kapağını döşeyen endokardiyumun; bakteri, virüs, mantar, mikobakteri veya riketsiyal bir enfeksiyonun sonucu gelişen bir inflamatuar süreci olarak tanımlanmaktadır [1].…”