Streptococcus agalactiae Infective Endocarditis: Analysis of 30 Cases and Review of the Literature, 1962–1998
We describe 30 cases (1.7%) of community-acquired penicillin-susceptible Streptococcus agalactiae endocarditis among 1771 episodes of endocarditis diagnosed in 4 Spanish hospitals from 1975 through 1998. Endocarditis affected a native valve (most often the mitral valve) in 25 cases (83%). Surgical v...
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| Veröffentlicht in: | Clinical infectious diseases 2002-06, Vol.34 (12), p.1576-1584 |
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| creator | Sambola, A. Miro, J. M. Tornos, M. P. Almirante, B. Moreno-Torrico, A. Gurgui, M. Martinez, E. Del Rio, A. Azqueta, M. Marco, F. Gatell, J. M. |
| description | We describe 30 cases (1.7%) of community-acquired penicillin-susceptible Streptococcus agalactiae endocarditis among 1771 episodes of endocarditis diagnosed in 4 Spanish hospitals from 1975 through 1998. Endocarditis affected a native valve (most often the mitral valve) in 25 cases (83%). Surgical valve replacement was performed for 12 patients (40%). Fourteen patients (47%) died. Mortality rates for patients with native and prosthetic valve endocarditis were 36% and 100%, respectively (P = .01). The mortality rate for native valve endocarditis decreased during the last 6 years of the study (from 61% in 1975-1992 to 8% in 1993-1998; P < .05). Additionally, 115 cases in the literature from 1962-1998 were reviewed. During 1980-1998, the percentage of patients who underwent cardiac surgery increased from 24% (in the previous period, 1962-1979) to 43% (P = .05) and the mortality rate decreased from 45% to 34% (P = NS). S. agalactiae is an uncommon cause of endocarditis with a high mortality rate, although the prognosis of native valve endocarditis has improved in recent years, probably because of an increased use of cardiac surgery. |
| doi_str_mv | 10.1086/340538 |
| format | Article |
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M. ; Tornos, M. P. ; Almirante, B. ; Moreno-Torrico, A. ; Gurgui, M. ; Martinez, E. ; Del Rio, A. ; Azqueta, M. ; Marco, F. ; Gatell, J. M.</creator><creatorcontrib>Sambola, A. ; Miro, J. M. ; Tornos, M. P. ; Almirante, B. ; Moreno-Torrico, A. ; Gurgui, M. ; Martinez, E. ; Del Rio, A. ; Azqueta, M. ; Marco, F. ; Gatell, J. M. ; the Streptococcus agalactiae Endocarditis Study Group</creatorcontrib><description>We describe 30 cases (1.7%) of community-acquired penicillin-susceptible Streptococcus agalactiae endocarditis among 1771 episodes of endocarditis diagnosed in 4 Spanish hospitals from 1975 through 1998. Endocarditis affected a native valve (most often the mitral valve) in 25 cases (83%). Surgical valve replacement was performed for 12 patients (40%). Fourteen patients (47%) died. Mortality rates for patients with native and prosthetic valve endocarditis were 36% and 100%, respectively (P = .01). The mortality rate for native valve endocarditis decreased during the last 6 years of the study (from 61% in 1975-1992 to 8% in 1993-1998; P < .05). Additionally, 115 cases in the literature from 1962-1998 were reviewed. During 1980-1998, the percentage of patients who underwent cardiac surgery increased from 24% (in the previous period, 1962-1979) to 43% (P = .05) and the mortality rate decreased from 45% to 34% (P = NS). S. agalactiae is an uncommon cause of endocarditis with a high mortality rate, although the prognosis of native valve endocarditis has improved in recent years, probably because of an increased use of cardiac surgery.</description><identifier>ISSN: 1058-4838</identifier><identifier>EISSN: 1537-6591</identifier><identifier>DOI: 10.1086/340538</identifier><identifier>PMID: 12032892</identifier><identifier>CODEN: CIDIEL</identifier><language>eng</language><publisher>Chicago, IL: The University of Chicago Press</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents - therapeutic use ; Bacterial diseases ; Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels ; Biological and medical sciences ; Cardiology. 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M.</creatorcontrib><creatorcontrib>Tornos, M. P.</creatorcontrib><creatorcontrib>Almirante, B.</creatorcontrib><creatorcontrib>Moreno-Torrico, A.</creatorcontrib><creatorcontrib>Gurgui, M.</creatorcontrib><creatorcontrib>Martinez, E.</creatorcontrib><creatorcontrib>Del Rio, A.</creatorcontrib><creatorcontrib>Azqueta, M.</creatorcontrib><creatorcontrib>Marco, F.</creatorcontrib><creatorcontrib>Gatell, J. M.</creatorcontrib><creatorcontrib>the Streptococcus agalactiae Endocarditis Study Group</creatorcontrib><title>Streptococcus agalactiae Infective Endocarditis: Analysis of 30 Cases and Review of the Literature, 1962–1998</title><title>Clinical infectious diseases</title><addtitle>Clinical Infectious Diseases</addtitle><addtitle>Clinical Infectious Diseases</addtitle><description>We describe 30 cases (1.7%) of community-acquired penicillin-susceptible Streptococcus agalactiae endocarditis among 1771 episodes of endocarditis diagnosed in 4 Spanish hospitals from 1975 through 1998. Endocarditis affected a native valve (most often the mitral valve) in 25 cases (83%). Surgical valve replacement was performed for 12 patients (40%). Fourteen patients (47%) died. Mortality rates for patients with native and prosthetic valve endocarditis were 36% and 100%, respectively (P = .01). The mortality rate for native valve endocarditis decreased during the last 6 years of the study (from 61% in 1975-1992 to 8% in 1993-1998; P < .05). Additionally, 115 cases in the literature from 1962-1998 were reviewed. During 1980-1998, the percentage of patients who underwent cardiac surgery increased from 24% (in the previous period, 1962-1979) to 43% (P = .05) and the mortality rate decreased from 45% to 34% (P = NS). S. agalactiae is an uncommon cause of endocarditis with a high mortality rate, although the prognosis of native valve endocarditis has improved in recent years, probably because of an increased use of cardiac surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - therapeutic use</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>Cardiology. Vascular system</subject><subject>Echocardiography</subject><subject>Endocardial and cardiac valvular diseases</subject><subject>Endocarditis</subject><subject>Endocarditis, Bacterial - drug therapy</subject><subject>Endocarditis, Bacterial - epidemiology</subject><subject>Endocarditis, Bacterial - microbiology</subject><subject>Endocarditis, Bacterial - physiopathology</subject><subject>Female</subject><subject>Fever</subject><subject>Heart</subject><subject>Heart valves</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Internships</subject><subject>Major Articles</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Penicillin</subject><subject>Prosthetic heart valves</subject><subject>Streptococcus agalactiae</subject><subject>Survival Analysis</subject><subject>Teaching hospitals</subject><subject>Treatment Outcome</subject><issn>1058-4838</issn><issn>1537-6591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkctuFDEQRVsIRB7AFyBkFrCiwY_2i100CknESEi8FLFp1birwaGnPdjuhOz4B_6QL8FRjzIrxMol31O37LpV9YjRl4wa9Uo0VApzp9pnUuhaScvulppKUzdGmL3qIKULShkzVN6v9hinghvL96vwIUfc5OCCc1Mi8BUGcNkDkrOxx1JdIjkeu-Agdj779JocjTBcJ59I6ImgZAEJS9_Ykfd46fHq5jp_Q7L0GSPkKeILwqzif379ZtaaB9W9HoaED7fnYfXpzfHHxWm9fHdytjha1q7hLNdcMNYYKXtuLaXaCdYoK5jmfdNjJ6kTQFfSIadKMjCadr1wSujyYZAKVuKwej77bmL4MWHK7donh8MAI4Yptbp4cWHsf0FmGsUtlzvQxZBSxL7dRL-GeN0y2t5k0M4ZFPDJ1nFarbHbYdulF-DZFoDkYOgjjM6nHSe0FvPTns5cmDb_HvZ4Zi5SDvGWakrqTKki17PsU8aftzLE763SQsv29PxLK9_a888nlpfJfwE_la2_</recordid><startdate>20020615</startdate><enddate>20020615</enddate><creator>Sambola, A.</creator><creator>Miro, J. 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M.</creatorcontrib><creatorcontrib>the Streptococcus agalactiae Endocarditis Study Group</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sambola, A.</au><au>Miro, J. M.</au><au>Tornos, M. P.</au><au>Almirante, B.</au><au>Moreno-Torrico, A.</au><au>Gurgui, M.</au><au>Martinez, E.</au><au>Del Rio, A.</au><au>Azqueta, M.</au><au>Marco, F.</au><au>Gatell, J. M.</au><aucorp>the Streptococcus agalactiae Endocarditis Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Streptococcus agalactiae Infective Endocarditis: Analysis of 30 Cases and Review of the Literature, 1962–1998</atitle><jtitle>Clinical infectious diseases</jtitle><stitle>Clinical Infectious Diseases</stitle><addtitle>Clinical Infectious Diseases</addtitle><date>2002-06-15</date><risdate>2002</risdate><volume>34</volume><issue>12</issue><spage>1576</spage><epage>1584</epage><pages>1576-1584</pages><issn>1058-4838</issn><eissn>1537-6591</eissn><coden>CIDIEL</coden><abstract>We describe 30 cases (1.7%) of community-acquired penicillin-susceptible Streptococcus agalactiae endocarditis among 1771 episodes of endocarditis diagnosed in 4 Spanish hospitals from 1975 through 1998. Endocarditis affected a native valve (most often the mitral valve) in 25 cases (83%). Surgical valve replacement was performed for 12 patients (40%). Fourteen patients (47%) died. Mortality rates for patients with native and prosthetic valve endocarditis were 36% and 100%, respectively (P = .01). The mortality rate for native valve endocarditis decreased during the last 6 years of the study (from 61% in 1975-1992 to 8% in 1993-1998; P < .05). Additionally, 115 cases in the literature from 1962-1998 were reviewed. During 1980-1998, the percentage of patients who underwent cardiac surgery increased from 24% (in the previous period, 1962-1979) to 43% (P = .05) and the mortality rate decreased from 45% to 34% (P = NS). S. agalactiae is an uncommon cause of endocarditis with a high mortality rate, although the prognosis of native valve endocarditis has improved in recent years, probably because of an increased use of cardiac surgery.</abstract><cop>Chicago, IL</cop><pub>The University of Chicago Press</pub><pmid>12032892</pmid><doi>10.1086/340538</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Anti-Bacterial Agents - therapeutic use Bacterial diseases Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels Biological and medical sciences Cardiology. Vascular system Echocardiography Endocardial and cardiac valvular diseases Endocarditis Endocarditis, Bacterial - drug therapy Endocarditis, Bacterial - epidemiology Endocarditis, Bacterial - microbiology Endocarditis, Bacterial - physiopathology Female Fever Heart Heart valves Human bacterial diseases Humans Incidence Infections Infectious diseases Internships Major Articles Male Medical sciences Middle Aged Mortality Penicillin Prosthetic heart valves Streptococcus agalactiae Survival Analysis Teaching hospitals Treatment Outcome |
| title | Streptococcus agalactiae Infective Endocarditis: Analysis of 30 Cases and Review of the Literature, 1962–1998 |
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