Haemophilus Endocarditis: Report of 42 Cases in Adults and Review

To define the clinical, microbiological, and therapeutic characteristics of haemophilus endocarditis, we reviewed the charts of 42 adults with haemophilus endocarditis (native valve disease, 37; prosthetic valve disease, five) who were followed up between 1983 and 1995 in France. The mean duration o...

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Veröffentlicht in:Clinical infectious diseases 1997-06, Vol.24 (6), p.1087-1094
Hauptverfasser: Darras-Joly, Clémence, Lortholary, Olivier, Mainardi, Jean-Luc, Etienne, Jérome, Guillevin, Loïc, Acar, Jacques
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container_end_page 1094
container_issue 6
container_start_page 1087
container_title Clinical infectious diseases
container_volume 24
creator Darras-Joly, Clémence
Lortholary, Olivier
Mainardi, Jean-Luc
Etienne, Jérome
Guillevin, Loïc
Acar, Jacques
description To define the clinical, microbiological, and therapeutic characteristics of haemophilus endocarditis, we reviewed the charts of 42 adults with haemophilus endocarditis (native valve disease, 37; prosthetic valve disease, five) who were followed up between 1983 and 1995 in France. The mean duration of symptoms before diagnosis was 34 days. The causative Haemophilus species were as follows: H. parainfluenzae (26 adults), H. aphrophilus (9), H. paraphrophilus (4), and H. influenzae (3). According to the Duke criteria, 38 cases of endocarditis were definitive and four were possible. Thirty-nine patients received combination antibacterial therapy and three received therapy with a β-lactam agent alone (mean duration, 46 days). Arterial embolism occurred in 15 patients. Cardiac surgery was indicated for 18 patients; 16 of these surgeries were performed within 3 months. Two patients died of heart failure. In conclusion, haemophilus endocarditis is rare and is mainly due to H. parainfluenzae. Although surgery is often necessary, haemophilus endocarditis has a favorable prognosis.
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source JSTOR Archive Collection A-Z Listing; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals
subjects Antibiotics
Bacterial diseases
Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels
Biological and medical sciences
Clinical Articles
Echocardiography
Endocarditis
Haemophilus
Haemophilus influenzae
Haemophilus parainfluenzae
Heart
Heart valves
Human bacterial diseases
Infectious diseases
Medical sciences
Symptoms
Vegetation
title Haemophilus Endocarditis: Report of 42 Cases in Adults and Review
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