Author | Mello, Renato | |
Author | Santos, Marisa da Silva | |
Author | Golebiosvki, Wilma | |
Author | Weksler, Clara | |
Author | Lamas, Cristiane | |
Access date | 2019-03-27T12:17:18Z | |
Available date | 2019-03-27T12:17:18Z | |
Document date | 2015 | |
Citation | MELLO, Renato et al. Streptococcus bovis endocarditis: analysis of cases between 2005 and 2014. Brazilian Journal of Infectious Diseases, v. 19, n. 2, p. 209-212, 2015. | pt_BR |
ISSN | 1413-8670 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/32239 | |
Language | eng | pt_BR |
Publisher | Elsevier | pt_BR |
Rights | open access | pt_BR |
Title | Streptococcus bovis endocarditis: analysis of cases between 2005 and 2014 | pt_BR |
Type | Article | pt_BR |
DOI | 10.1016/j.bjid.2014.12.007 | |
Abstract | Background: Streptococcus bovis is a classical etiology of endocarditis and is associated with colonic lesions. No series of cases from Brazil has been described. Objectives: To describe aspects of S. bovis endocarditis.
Methods: This is a case series of patients admitted to a cardiac surgery referral center, during the years 2005–2014. Clinical, laboratory, echochardiographic, colonoscopic, treatment, surgical and outcome variables were studied. Results: Nine patients with S. bovis endocarditis were included; all cases fulfilled the modified Duke criteria. Incidence was 8/220 (4%) in years 2006–2014. There were seven male and two female patients; mean age was 56.7 years, standard deviation 13.4. All patients had native aortic valve involvement. Presentation was subacute in 7/9 (71%). Fever was present in 7/9 (77.7%), embolic lesions to solid organs occurred in three, and perivalvular abscess in two patients. All echocardiograms showed moderate to severe valvular regurgitation and vegetations. Microcytic anemia was seen in 7/7 patients. Colonoscopy showed abnormal findings in 7/9 (77.7%). Surgery was indicated for 6/9 patients due to acute aortic regurgitation and left ventricular failure. All patients were discharged home. Conclusions: S. bovis most frequently affected the aortic valve of male patients. Colon disease was frequent. Surgery was indicated frequently due to hemodynamic compromise. | pt_BR |
Affilliation | Universidade do Grande Rio. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Universidade do Grande Rio. Rio de Janeiro, RJ, Brasil / Instituto Nacional de Cardiologia. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil. | pt_BR |
Subject | Infective endocarditis | pt_BR |
Subject | Streptococcus bovis group | pt_BR |
Subject | Cardiac surgery | pt_BR |
Subject | Colonic lesions | pt_BR |
e-ISSN | 1678-4391 | |