Perivalvular abscesses due to Staphylococcus aureus endocarditis comparison with Streptococcus viridans endocarditis and incremental value of transesophageal echocardiography.

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dc.contributor.authorPachirat, Oen_US
dc.contributor.authorKlungboonkrong, Ven_US
dc.date.accessioned2009-05-27T18:45:49Z
dc.date.available2009-05-27T18:45:49Z
dc.date.issued2000-05-23en_US
dc.descriptionChotmaihet Thangphaet.en_US
dc.description.abstractBACKGROUND: Perivalvular abscesses are major complications of infective endocarditis (IE). The prevalence and best approach to detection of this complication in Staphylococcus aureus (SA) in comparison to Streptococcus viridans (SV) IE is unclear. METHOD: Among 243 consecutive episodes of IE diagnosed using the Duke criteria, who underwent either transthoracic (TTE) or transesophageal echocardiography (TEE) at the Mayo Clinic between 1988 and 1993, there were 64 cases of SV and 61 of SA IE. Comparison of TTE and TEE detection of abscesses were restricted to patients with either surgical or autopsy examination and both TTE and TEE were performed. RESULTS: Prosthetic valve and valve repair were significantly higher in SA compared to SV IE (46 vs 23%, P = 0.008). The prevalence of abscesses was higher in SA compared to SV IE (42 vs 14%, P = 0.08). 1 (10%) of abscess detected by TTE in SA compared to 1 (50%) in SV IE and 6 (60%) by TEE in SA and 1 (50%) in SV IE. Incremental value of TEE vs TTE was higher in SA 5/24 (21%) than in SV IE 0/14 (0%) P = 0.067. Hospital mortality was significantly higher in SA than SV IE (13 vs 2%, P = 0.013). CONCLUSION: Patients diagnosed with IE and those with SA 1) presented more often with prosthetic valve IE, 2) developed more perivalvular abscesses, and 3) had a higher in hospital mortality than those with SV. Incremental value of TEE was higher in SA than in SV IE, 4) therefore, had a stringent requirement for initial and repeated TEE to detect this ominous complication of IE.en_US
dc.description.affiliationDivision of Cardiovascular Disease and Internal Medicine, Srinagarind Hospital, Khon Kaen University, Thailand.en_US
dc.identifier.citationPachirat O, Klungboonkrong V. Perivalvular abscesses due to Staphylococcus aureus endocarditis comparison with Streptococcus viridans endocarditis and incremental value of transesophageal echocardiography. Journal of the Medical Association of Thailand. 2000 May; 83(5): 467-73en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/39800
dc.language.isoengen_US
dc.source.urihttps://www.mat.or.th/journal/all.phpen_US
dc.subject.meshAbscess --epidemiologyen_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshEchocardiography, Transesophagealen_US
dc.subject.meshEndocarditis, Bacterial --epidemiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHeart Valve Diseases --epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPrevalenceen_US
dc.subject.meshRegistriesen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSensitivity and Specificityen_US
dc.subject.meshStaphylococcal Infections --epidemiologyen_US
dc.subject.meshStaphylococcus aureus --isolation & purificationen_US
dc.subject.meshStreptococcal Infections --epidemiologyen_US
dc.subject.meshStreptococcus --isolation & purificationen_US
dc.subject.meshSurvival Rateen_US
dc.titlePerivalvular abscesses due to Staphylococcus aureus endocarditis comparison with Streptococcus viridans endocarditis and incremental value of transesophageal echocardiography.en_US
dc.typeComparative Studyen_US
dc.typeJournal Articleen_US
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