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 |
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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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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.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/513624</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Antibiotics ; Bacterial diseases ; Bacterial endocarditis, myocarditis and pericarditis. 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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.</description><subject>Antibiotics</subject><subject>Bacterial diseases</subject><subject>Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels</subject><subject>Biological and medical sciences</subject><subject>Clinical Articles</subject><subject>Echocardiography</subject><subject>Endocarditis</subject><subject>Haemophilus</subject><subject>Haemophilus influenzae</subject><subject>Haemophilus parainfluenzae</subject><subject>Heart</subject><subject>Heart valves</subject><subject>Human bacterial diseases</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Symptoms</subject><subject>Vegetation</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><recordid>eNpFkEtLw0AUhYMoWKv-AhdZiLvovB_uSqlGiIiiIG6GaTLBqWkS5yY-_r2xkbq693I-DvecKDrG6BwjJS44poKwnWiCOZWJ4BrvDjviKmGKqv3oAGCFEMYK8Uk0S61bN-2rr3qIF3XR5DYUvvNwGT-4tgld3JQxI_HcgoPY1_Gs6KsOYlsXA_Dh3edhtFfaCtzR35xGT1eLx3maZHfXN_NZluRMyC7huljqvCCFWnItmECCDKekTAgnsaBaaoaYIojlsigR15JjrYW1WKuSIE2n0dno24bmvXfQmbWH3FWVrV3Tg8ECaUwE-Qfz0AAEV5o2-LUN3wYj89uQGRsawNM_Rwu5rcpg69zDliZCKbrBTkZsBV0TtjIbMqDNX8koe-jc11a24c0ISSU36fOLSdVtliF9b-b0Bw8_eYU</recordid><startdate>19970601</startdate><enddate>19970601</enddate><creator>Darras-Joly, Clémence</creator><creator>Lortholary, Olivier</creator><creator>Mainardi, Jean-Luc</creator><creator>Etienne, Jérome</creator><creator>Guillevin, Loïc</creator><creator>Acar, Jacques</creator><general>The University of Chicago Press</general><general>University of Chicago Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope></search><sort><creationdate>19970601</creationdate><title>Haemophilus Endocarditis: Report of 42 Cases in Adults and Review</title><author>Darras-Joly, Clémence ; Lortholary, Olivier ; Mainardi, Jean-Luc ; Etienne, Jérome ; Guillevin, Loïc ; Acar, Jacques</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-59db9cd2d8b596460629cd73466e71639794048204c7df059751996aa198f2093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Antibiotics</topic><topic>Bacterial diseases</topic><topic>Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels</topic><topic>Biological and medical sciences</topic><topic>Clinical Articles</topic><topic>Echocardiography</topic><topic>Endocarditis</topic><topic>Haemophilus</topic><topic>Haemophilus influenzae</topic><topic>Haemophilus parainfluenzae</topic><topic>Heart</topic><topic>Heart valves</topic><topic>Human bacterial diseases</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Symptoms</topic><topic>Vegetation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Darras-Joly, Clémence</creatorcontrib><creatorcontrib>Lortholary, Olivier</creatorcontrib><creatorcontrib>Mainardi, Jean-Luc</creatorcontrib><creatorcontrib>Etienne, Jérome</creatorcontrib><creatorcontrib>Guillevin, Loïc</creatorcontrib><creatorcontrib>Acar, Jacques</creatorcontrib><creatorcontrib>the Haemophilus Endocarditis Study Group</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Darras-Joly, Clémence</au><au>Lortholary, Olivier</au><au>Mainardi, Jean-Luc</au><au>Etienne, Jérome</au><au>Guillevin, Loïc</au><au>Acar, Jacques</au><aucorp>the Haemophilus Endocarditis Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Haemophilus Endocarditis: Report of 42 Cases in Adults and Review</atitle><jtitle>Clinical infectious diseases</jtitle><addtitle>Clinical Infectious Diseases</addtitle><date>1997-06-01</date><risdate>1997</risdate><volume>24</volume><issue>6</issue><spage>1087</spage><epage>1094</epage><pages>1087-1094</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>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.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><doi>10.1086/513624</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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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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