Guidelines on prevention, diagnosis and treatment of infective endocarditis: executive summary

Horstkotte, Dieter; Folláth, Ferenc; Gutschik, E

doi:10.1016/j.accreview.2004.04.021

Cited by 67 publications

(102 citation statements)

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“…The use of echocardiography in IE surveillance cannot be simplified because the problem is complex, and a missed diagnosis often results in significant morbidity and mortality (3). Therefore, the current European Society of Cardiology and American Heart Association guidelines (3,9) recommend that any patients suspected of having native valve endocarditis by clinical criteria should be screened by TTE. Furthermore, TTE is rapid and noninvasive, and has excellent specificity for vegetations (4,10).…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis of IE was confirmed according to modified Duke criteria (1), rather than TTE or transesophageal echocardiography (TEE) findings. Predetermined clinical parameters (9) suggestive of or predisposed to IE were recorded by patient interview and review of medical records after obtaining informed consent. The predetermined clinical parameters were embolic events, immunological phenomena, current central venous access, any recent history of intravenous drug use, presence of a prosthetic heart valve, existence of a cardiac structural abnormality other than a prosthetic valve, positive blood culture and recurrent fever (38°C or higher for at least two days).…”

Section: Methods Subjectsmentioning

confidence: 99%

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Judicious use of transthoracic echocardiography in infective endocarditis screening

Liu

Tsai

Hsu

et al. 2009

Canadian Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

Section: Methods Subjectsmentioning

confidence: 99%

Judicious use of transthoracic echocardiography in infective endocarditis screening

Liu

Tsai

Hsu

et al. 2009

Canadian Journal of Cardiology

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“…Sin embargo, en este mismo contexto, estudios basados en los microorganismos encontrados en hemocultivos, han estimado conveniente hacer esta división al año de la cirugía, ya que sólo transcurrido ese período de tiempo se hallaba clara diferencia entre los agentes productores de EI 2,7,8,9 .…”

Section: Etiopatogeniaunclassified

Actualización sobre endocarditis infecciosa en válvula protésica

2009

Rev Chil Cardiol

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“…In terms of prevention, the presence of a cardiac pacemaker is not a patient condition that poses a high risk of infection and hence does not require antimicrobial prophylaxis according to the guidelines of the Task Force on Infective Endocarditis of the European Society of Cardiology (16). Nevertheless, this case of Neisseria oral clone-induced pacemaker endocarditis demonstrates that patient education in general hygiene practices, with particular attention to oral and dental care, is a critical issue.…”

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confidence: 91%

Endocarditis Due to a New Rod-Shaped Neisseria sp

et al. 2005

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We report the first case of pacemaker endocarditis due to a new rod-shaped Neisseria sp. isolated from blood culture. On the basis of rrs sequencing, the isolate was found to be most closely related to an uncultured organism from human subgingival plaque and was identified as Neisseria sp. group AK105. A cure was achieved after a combination of surgical and antibiotic treatment. Oral flora-induced pacemaker endocarditis is a rare condition that reinforces the need for good oral hygiene as an important preventive measure.Apart from Neisseria meningitidis and N. gonorrhoeae, which are primary pathogens, all other Neisseria species are considered commensal inhabitants of the oro-or nasopharynx of humans or animals. These Neisseria spp. have only sporadically been associated with human illness, such as meningitis, bacteremia, endocarditis, pericarditis, empyema, or pneumonia, as opportunistic pathogens (19). Among these, only seven opportunistic Neisseria species have been occasionally involved in infective endocarditis: Neisseria elongata subsp. nitroreducens (9,13,22), Neisseria elongata subsp. elongata (4,20), N. mucosa (7,17,26), N. cinerea (5), N. sicca (12,14,24), N. flavescens (25), and N. subflava (2, 23). While Neisseria species are typically gram-negative diplococci, there are some rod-shaped species such as N. elongata (6) and N. weaveri (3). We report the first case of pacemaker endocarditis with secondary arthritis localization due to a new rod-shaped Neisseria sp. It was identified by sequencing the rrs gene coding for the 16S rRNA gene.A 38-year-old man presented with acute pain in the left shoulder associated with local inflammatory signs. During the preceding 3 weeks, he had developed dizziness, myalgia, and intense shivers. The patient had had a grade I atrioventricular block detected in 1993 and had then been equipped with a permanent pacemaker system. On admission, physical examination revealed left sternoclavicular stiffness and pain with localized heat and erythema around the affected joint. The patient presented neither fever nor respiratory, cardiovascular, gastrointestinal, or neurological signs. He complained also about dental pain which had started a few weeks before, although teeth and gums seemed healthy. Laboratory investigations revealed an erythrocyte sedimentation rate (ESR) of 92 mm/h, a C-reactive protein (CRP) concentration of 149 mg/ liter, and a leukocyte count of 9.8 ϫ 10 9 /liter with 75% polymorphonuclear (PMN) cells. Urine culture was negative. Plain dental and maxillary sinus X rays were normal. Plain X rays and a computed tomography scan of the sternoclavicular joints showed left joint space widening due to a localized edema, joint effusion, soft tissue swelling, and left clavicle erosion.Forty-eight hours after admission, the patient developed an acute-onset fever up to 39°C, chills, and shivers. Initial transesophageal echocardiography visualized a small heterogeneous mass suggesting vegetation on the intracardiac portion of the pacing wire on the atrial septum. Three se...

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Guidelines on prevention, diagnosis and treatment of infective endocarditis: executive summary

Cited by 67 publications

References 1 publication

Judicious use of transthoracic echocardiography in infective endocarditis screening

Judicious use of transthoracic echocardiography in infective endocarditis screening

Actualización sobre endocarditis infecciosa en válvula protésica

Endocarditis Due to a New Rod-Shaped Neisseria sp

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