41,747 results match your criteria Infective Endocarditis


Genomic relatedness of a canine Lactococcus garvieae to human, animal and environmental isolates.

Res Vet Sci 2021 May 4;137:170-173. Epub 2021 May 4.

Bacteriology, Department of Infectious Diseases, University of Liège, Liège, Belgium.

Lactococcus (L.) garvieae is a zoonotic fish pathogen that can also cause bacteraemia and endocarditis in humans and has been isolated from healthy or diseased domestic animals. Nevertheless L. Read More

View Article and Full-Text PDF

Gonococcal endocarditis: A rare manifestation of a common disease in the COVID-19 era.

Int J STD AIDS 2021 May 14:9564624211017425. Epub 2021 May 14.

Division of Infectious Diseases, Department of Medicine, 5229University of Wisconsin, Madison, WI, USA.

Gonococcal infections have been increasing worldwide and in the United States. Rarely, can cause disseminated disease, including endocarditis. We present a case of gonococcal endocarditis, confirmed by blood cultures and 16S rRNA sequencing on excised valvular tissue. Read More

View Article and Full-Text PDF

Recurrent Infective Endocarditis with Mycotic Aneurysm - Imaging Modalities for the Detection of an Infective Focus.

Heart Views 2020 Oct-Dec;21(4):300-304. Epub 2021 Jan 14.

Department of Cardiology, Royal Lancaster Infirmary, Lancaster, United Kingdom.

bacteremia (SAB) and infective endocarditis (IE) are infections associated with considerable morbidity, requiring prompt accurate diagnosis and treatment. We present a case of a 58-year-old male patient with four episodes of recurrent symptomatic SAB treated for IE, but without positive findings on transthoracic echocardiography, transesophageal echocardiography, and fluorodeoxyglucose-positron emission tomography (FDG-PET). On the last admission, FDG-PET showed increased uptake in the right atrial appendage, and white blood cell single-photon emission computerized tomography (WBC-SPECT) was able to identify the infective focus as IE of the aortic valve. Read More

View Article and Full-Text PDF
January 2021

Convexal Subarachnoid Hemorrhage Caused by Infective Endocarditis in a Patient with Advanced Human Immunodeficiency Virus (HIV): The Culprits and Bystanders.

Am J Case Rep 2021 May 14;22:e931376. Epub 2021 May 14.

Department of Infectious Disease, Rockledge Regional Medical Center, Rockledge, FL, USA.

BACKGROUND Convexal subarachnoid hemorrhage (cSAH), a rare form of non-aneurysmal subarachnoid hemorrhage, is confined to cerebral convexities without extension into basal cisterns or ventricles. Typical presentation includes thunderclap/progressive headache or transient focal neurological symptoms; rare manifestations include seizures, intractable vomiting, or altered mental status. Here, we report the first case of convexal subarachnoid hemorrhage and multifocal ischemic lesions caused by infective endocarditis (IE) in a treatment-naïve advanced HIV patient. Read More

View Article and Full-Text PDF

New pathological illuminations on 3D transillumination transesophageal echocardiography imaging.

Echocardiography 2021 May 13. Epub 2021 May 13.

Echocardiography Laboratory, Department of Cardiovascular Medicine, Mayo Clinic, Scottsdale, AZ, USA.

The use of 3D technology has significantly improved the diagnostic accuracy of echocardiography by overcoming the limitation of 2D echocardiography. Transillumination 3D image post processing technique enhances shadows and contrast of cardiac structures with a movable virtual light source improving further the clarity and detail provided by conventional 3D imaging. In this report, we present 3 cases, one of mobile atherosclerotic aortic root plaque, another of small thrombi on ICD lead, and a third case of bicuspid aortic valve perforation due to infective endocarditis in whom TEE 3D transillumination further improved the diagnostic quality of conventional 3D imaging and lead to accurate clinical diagnosis. Read More

View Article and Full-Text PDF

The impact of surgeon and hospital procedural volume on outcomes after aortic root replacement in the United States.

J Card Surg 2021 May 12. Epub 2021 May 12.

Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Objective: Surgeon procedural volume for complex cardiac procedures have become important quality metrics. The objective is to determine the association of surgeon and hospital case volume on patient outcomes after an aortic root replacement for aortic root aneurysms.

Methods: From 2009 to 2014, 4629 Medicare patients underwent an aortic root replacement for a root aneurysm. Read More

View Article and Full-Text PDF

An aorto-right-atrial fistula caused by infective endocarditis in a patient with an anomalous coronary artery from the opposite sinus.

Gen Thorac Cardiovasc Surg 2021 May 12. Epub 2021 May 12.

Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki, Aomori, 036-8562, Japan.

A 35-year-old man presented with an anomalous right coronary artery from the opposite Valsalva sinus. He developed an aorto-right-atrial fistula due to destructive infective endocarditis undetected during preoperative computed tomography. Intraoperative retrograde cardioplegia and direct insertion of the coronary probe demonstrated that the right coronary ostium was in the left Valsalva sinus near the left coronary ostium. Read More

View Article and Full-Text PDF

Predicting Infective Endocarditis After Transcatheter Aortic Valve Implantation Via a Risk Model.

Am J Cardiol 2021 May 9. Epub 2021 May 9.

Dept. of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio. Electronic address:

View Article and Full-Text PDF

Non-HACEK gram negative bacilli endocarditis: Analysis of a national prospective cohort.

Eur J Intern Med 2021 May 9. Epub 2021 May 9.

Infectious Diseases Unit, Internal Medicine Department, Hospital Puerta de Hierro, Majadahonda, Madrid, Spain.

Background: Infective endocarditis (IE) due to non-HACEK bacilli (Haemophilus species, Actinobacillus, Cardiobacterium, Eikenella, or Kingella) is uncommon and poorly described. The objectives of this study were to describe non-HACEK Gram-Negative Bacilli (GNB) IE cases and compare characteristic of IE produced by Enterobacterales and non-fermenting (NF) GNB.

Methods: From January 2008 to December 2018, 3910 consecutive patients with definitive IE diagnosis, defined with Modified Duke criteria, either clinical or pathological criteria (e. Read More

View Article and Full-Text PDF

Outpatient continuous-infusion benzylpenicillin combined with either gentamicin or ceftriaxone for enterococcal endocarditis.

J Antimicrob Chemother 2021 May 11. Epub 2021 May 11.

Infectious Disease Unit, North Shore Hospital and Waitakere Hospital, Auckland, New Zealand.

Background: Treatment regimens requiring multiple daily dosing for enterococcal endocarditis are challenging to deliver in the outpatient setting. Continuous-infusion benzylpenicillin via a 24 h elastomeric infusor, combined with either once-daily gentamicin or ceftriaxone, requires only one nursing encounter daily and is commonly used in New Zealand.

Objectives: To assess the therapeutic success and adverse antibiotic effects of these regimens. Read More

View Article and Full-Text PDF

HACEK Infective Endocarditis at a Tertiary Children's Hospital.

J Pediatr 2021 May 8. Epub 2021 May 8.

Texas Children's Hospital, Houston, Texas; Baylor College of Medicine, Houston, Texas. Electronic address:

View Article and Full-Text PDF

Improval of outcome in patients with endocarditis.

Eur Heart J Acute Cardiovasc Care 2021 May;10(3):367-368

Department of Emergency Medicine, Herlev and Gentofte Hospital, University of Copenhagen, Borgmester Ib Juuls vej 1, 2730 Herlev, Denmark.

View Article and Full-Text PDF

Predictors of permanent pacemaker requirement after cardiac surgery for infective endocarditis.

Eur Heart J Acute Cardiovasc Care 2021 May;10(3):329-334

Department of Cardiovascular Medicine, Cleveland Clinic, USA.

Background: Infectious endocarditis is often complicated by conduction abnormalities at the time of presentation. Cardiac surgery is the treatment of choice for many infectious endocarditis patients, but carries an additional risk of persistent postoperative conduction abnormality. We sought to define the incidence and clinical predictors of significant postoperative conduction abnormalities necessitating permanent pacemaker implantation after cardiac surgery for infectious endocarditis. Read More

View Article and Full-Text PDF

Durability of Pulmonary Valve Replacement with Large Diameter Stented Porcine Bioprostheses.

Semin Thorac Cardiovasc Surg 2021 May 7. Epub 2021 May 7.

Departments of Cardiothoracic Surgery, Stanford University School of Medicine; Pediatrics, Stanford University School of Medicine. Electronic address:

There is limited information about durability of large diameter porcine bioprostheses implanted for pulmonary valve replacement (PVR). We studied patients who underwent surgical PVR from 2002-2019 with a stented porcine bioprosthetic valve (BPV) with a labeled size ≥27 mm. The primary outcome was freedom from reintervention. Read More

View Article and Full-Text PDF

Re-operative aortic arch surgery in a contemporary series.

Semin Thorac Cardiovasc Surg 2021 May 7. Epub 2021 May 7.

Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA. Electronic address:

Re-operative aortic arch operations (REDO) following previous cardiac surgery are challenging procedures associated with significant morbidity and mortality. We investigated post-operative outcomes for patients undergoing REDO and identified risk-factors for mortality in a contemporary series. From 1/2005-6/2018, 365 consecutive patients at an academic center underwent REDO: 257 HEMIARCH and 108 COMPLETE arch (45 stage I elephant trunk, 63 total arch) replacements. Read More

View Article and Full-Text PDF

Diagnostic stewardship based on patient profiles: differential approaches in acute versus chronic infectious syndromes.

Expert Rev Anti Infect Ther 2021 May 14:1-11. Epub 2021 May 14.

Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

: New diagnostics may be useful in clinical practice, especially in contexts of high prevalence of multidrug-resistant organisms (MDRO). However, misuse of diagnostic tools may lead to increased costs and worse patient outcome. Conventional and new techniques should be appropriately positioned in diagnostic algorithms to guide an appropriate use of antimicrobial therapy. Read More

View Article and Full-Text PDF

A Series of Surgical Infections and Review of the Literature.

Surg Infect (Larchmt) 2021 May 7. Epub 2021 May 7.

University of Maryland Shore Regional at Easton, Easton, Maryland, USA.

(HPI) is a rare and underreported pathogen. causes respiratory, soft tissue, and central nervous system (CNS) infections, and endocarditis. Little data on HPI surgical infections are available, especially for intra-abdominal infections (IAI). Read More

View Article and Full-Text PDF