Infected Marantic Endocarditis With Leukemoid Reaction

Sánchez-Enrique, Cristina; Vilacosta, Isidre; Moreno, Héctor García; Delgado-Bolton, Roberto; Pérez‐Alonso, Pablo; Martínez, Armando; Vivas, David; Ferrera, Carlos; Olmos, Carmen

doi:10.1253/circj.cj-14-0079

Cited by 12 publications

(7 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Swoistość zarówno TEE, jak i TTE ocenia się na około 90%. Stwierdzenie wegetacji może stanowić problem w przypadku wcześniej obecnych nieprawidłowości zastawki (wypa- Możliwe jest fałszywe rozpoznanie IZW, a w niektórych przypadkach trudno odróżnić wegetacje od skrzeplin, wyrośli Lambla, wypadania płatka, pękniętej nici ścięgnistej, włókniaka brodawkowatego, zmian zwyrodnieniowych lub śluzakowatych zastawek, uszkodzeń w przebiegu tocznia (zapalenie wsierdzia Libmana-Sacksa), pierwotnego zespołu antyfosfolipidowego, choroby reumatycznej, kacheksji [74]. Dlatego też wynik badania echokardiograficznego należy uważnie interpretować, biorąc pod uwagę obraz kliniczny i prawdopodobieństwo wystąpienia u pacjenta IZW.…”

Section: Echokardiografiaunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

Self Cite

148

212

View full text Add to dashboard Cite

Section: Echokardiografiaunclassified

2015 ESC Guidelines for the management of infective endocarditis

Habib¹,

Lancellotti

Antunes³

et al. 2015

Kardiol Pol

Self Cite

148

212

View full text Add to dashboard Cite

“…Pueden producirse diagnósticos falsos de EI, y en algunos casos puede ser difícil diferenciar las vegetaciones de los trombos, excrecencias de Lambl, prolapso de cúspide, rotura de cuerda, fibroelastoma de valva, valvulopatía degenerativa o mixomatosa, strands valvulares, lesiones de lupus sistémicas (Libman-Sacks), síndrome antifosfolipídico primario, lesiones reumatoides o vegetaciones maránticas 74 . Por lo tanto, se debe interpretar con precaución los resultados del estudio ecocardiográfico, teniendo en cuenta la presentación clínica del paciente y la probabilidad de EI.…”

Section: Ecocardiografíaunclassified

Guía ESC 2015 sobre el tratamiento de la endocarditis infecciosa

Habib¹,

Lancellotti²,

Antunes³

et al. 2016

Revista Española de Cardiología

Self Cite

View full text Add to dashboard Cite

“…The role of the pathologist is often decisive. Histological assessment of cardiac valves to demonstrate vegetations and valvular inflammation remains the gold standard for IE diagnosis [ 8 ], especially for complicated cases with atypical clinical manifestations and auxiliary examination results, when bacteriologists fail to isolate a microorganism [ 9 ]. Besides, histological analysis can distinguish blood culture-negative endocarditis from noninfective causes of endocarditis, particularly neoplastic or autoimmune disease [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Preoperative false-negative transthoracic echocardiographic results in native valve infective endocarditis patients: a retrospective study from 2001 to 2018

Ren

Zhang

Chen

et al. 2021

Cardiovasc Ultrasound

View full text Add to dashboard Cite

Background Infective endocarditis (IE) is a lethal disease that is difficult to diagnosis early. Although echocardiography is one of the most widely used diagnostic technique, it has limited sensitivity. This study surveyed the clinical features of IE patients who underwent surgery and compared transthoracic echocardiography and histological findings to explore the factors related to false-negative echocardiographic results. Methods Medical records were extracted from IE patients consecutively hospitalized between June 2001 and June 2018. Results A total of 182 patients with native valve IE who underwent surgery were included. Compared to the non-surgery group, the surgery group was more likely to have pre-existing valvular lesions and more serious cardiac conditions and a relative lack of signs of infection and cerebrovascular events, leading to a lower proportion of “definite cases” before surgery. The false-negative rate of echocardiography was 14.5%. Echocardiography has significant disadvantages in diagnosing perivalvular abscesses, valve perforations, and left-sided endocarditis, especially for subjects with both aortic and mitral valve infections. The multivariate analysis identified congenital heart disease and small vegetations (< 10 mm) as independent predictors of false-negative echocardiography results. Conversely, fever and heart murmurs on admission served as protective factors. Conclusions Under some circumstances, echocardiography provides inconsistent results compared with surgical findings, and negative echocardiography results do not rule out IE. The diagnosis of IE depends on comprehensive evaluations using multiple methods.

show abstract

Infected Marantic Endocarditis With Leukemoid Reaction

Cited by 12 publications

References 10 publications

2015 ESC Guidelines for the management of infective endocarditis

2015 ESC Guidelines for the management of infective endocarditis

Guía ESC 2015 sobre el tratamiento de la endocarditis infecciosa

Preoperative false-negative transthoracic echocardiographic results in native valve infective endocarditis patients: a retrospective study from 2001 to 2018

Contact Info

Product

Resources

About