Infective endocarditis in elderly and very elderly patients

Menchi-Elanzi, Marouane; Ramos‐Rincón, José‐Manuel; Merino-Lucas, Esperanza; Reus, Sergio; Torrús‐Tendero, Diego; Climent-Payá, Vicente E.; Boix, Vicente; Portilla-Sogorb, Joaquín

doi:10.1007/s40520-019-01314-3

Cited by 11 publications

(22 citation statements)

References 17 publications

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“…Older adults have higher risk of IE than the general population [ 3 , 4 ]. The incidence of IE in this population increases with age, and the prevalence of degenerative valve lesions [ 5 ]. Their disease is more often atypical [ 5 , 6 ].…”

Section: Case Discussionmentioning

confidence: 99%

“…The incidence of IE in this population increases with age, and the prevalence of degenerative valve lesions [ 5 ]. Their disease is more often atypical [ 5 , 6 ]. Fever may not happen, delaying diagnosis and increasing mortality [ 5 ].…”

Section: Case Discussionmentioning

confidence: 99%

“…Their disease is more often atypical [ 5 , 6 ]. Fever may not happen, delaying diagnosis and increasing mortality [ 5 ]. Dyspnea can be explained by the deterioration of cardiac function [ 7 ].…”

Section: Case Discussionmentioning

confidence: 99%

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Bartonella henselae endocarditis in an elderly patient

et al. 2020

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We report an 85-year-old white man admitted to the emergency department of the University of Campinas with fever of undetermined origin (FUO) who received antibiotics previously. Initially, the hypothesis was pneumonia. He presented a drug reaction misdiagnosed as staphylococcal desquamation. The follow-up confirmed that prolonged fever was caused by bacterial endocarditis by transthoracic echocardiogram that showed vegetation in the aortic valve. Bartonella henselae etiology was confirmed by PCR.This case reinforces the difficulty of diagnosing Bartonella sp. infection; this etiology must be considered even in patients with negative serology. The criteria for the diagnosis of bacterial endocarditis should contemplate a molecular positivity investigation for Bartonella spp, such as PCR in blood or serum samples as a major Duke criterion, even if with titers lower than 1 to 800.

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Section: Case Discussionmentioning

confidence: 99%

Section: Case Discussionmentioning

confidence: 99%

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Bartonella henselae endocarditis in an elderly patient

et al. 2020

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“…This observation was also demonstrated by López et al [ 29 ], studying a cohort of 600 Left-sided IE patients 40% of whom had PVE, showing a similar age distribution[ 29 ]. In contrast, a smaller observational study of 72 patients with IE by Menchi-Elanzi et al [ 30 ] demonstrated that elderly patients (65-79 years old) had a significantly lower prevalence of PVE compared to the young and octogenarians[ 30 ].…”

Section: Epidemiologymentioning

confidence: 99%

“…In patients with PVE, there is male predominance with 3:1 ratio across various studies[ 14 , 28 - 30 ]. This ratio changes towards 1:1 in the octogenarian group[ 28 - 30 ].…”

Section: Epidemiologymentioning

confidence: 99%

Multimodality imaging in the diagnosis and management of prosthetic valve endocarditis: A contemporary narrative review

Presti¹,

Elajami²,

Zmaili³

et al. 2021

WJC

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Infective endocarditis is one of the leading life-threatening infections around the world. With the exponential growth in the field of transcatheter interventions and advances in specialized surgical techniques, the number of prosthetic valves and cardiac implantable devices has significantly increased. This has led to a steep rise in the number of cases of prosthetic valve endocarditis (PVE) comprising up to 30% of all cases. Clinical guidelines rely on the use of the modified Duke criteria; however, the diagnostic sensitivity of the modified Duke criteria is reduced in the context of PVE. This is in part attributed to prosthesis related artifact which greatly affects the ability of echocardiography to detect early infective changes related to PVE in certain cases. There has been increasing recognition of the roles of complementary imaging modalities and updates in international society recommendations. Prompt diagnosis and treatment can prevent the devastating consequences of this condition. Imaging modalities such as cardiac computed tomography and 18 -fluorodeoxyglucose positron emission tomography/computed tomography are diagnostic tools that provide a complementary role to echocardiography in aiding diagnosis, pre-operative planning, and treatment decision-making process in these challenging cases. Understanding the strengths and limitations of these adjuvant imaging modalities is crucial for the implementation of appropriate imaging modalities in clinical practice.

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Epidemiologic and clinical characteristics of infective endocarditis: a single-center retrospective study in the Bronx, New York

Liaqat

Palaiodimos

et al. 2022

Infection

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Infective endocarditis in elderly and very elderly patients

Cited by 11 publications

References 17 publications

Bartonella henselae endocarditis in an elderly patient

Bartonella henselae endocarditis in an elderly patient

Multimodality imaging in the diagnosis and management of prosthetic valve endocarditis: A contemporary narrative review

Epidemiologic and clinical characteristics of infective endocarditis: a single-center retrospective study in the Bronx, New York

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