Pneumococcal infective endocarditis in Brazil: a multicenter study on a severe condition
Braz. j. infect. dis
; Braz. j. infect. dis;28(4): 103837, 2024. tab
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LILACS-Express
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| ID: biblio-1568963
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BR1.1
ABSTRACT
Abstract Background Streptococcus pneumoniae bacteremia may result in Infective Endocarditis (IE). In the pre-antibiotic era, it caused 10 %‒15 % of IE, decreasing to < 3 % after penicillin availability. Although infrequent, it causes aggressive disease. Methods Retrospective analysis of endocarditis databases, prospectively implemented in 4 Brazilian institutions, 2005‒2023. Results From the prospective cohorts comprising 2321 adult patients with IE, we identified 11 (0.47%) with pneumococcal IE. Males represented 7/11 and mean age was 54 years (22‒77). All had native valve involvement; perivalvular abscess was present in 6/11. Only one patient had concurrent meningitis. Beta-lactams were the antibiotics used in 10/11. All had surgical indication, but only 6 had it, as the others were seriously ill. Overall, in hospital mortality was 6/11, but only 1/6 of those who underwent surgery died, compared to 5/5 of those who had an indication for surgery and did not have it. Conclusions The high mortality rates and need for surgical intervention emphasize the need to promptly identify and manage pneumococcal endocarditis. Physicians ought to recommend vaccination to all patients at risk for severe pneumococcal disease.
Texte intégral:
1
Indice:
LILACS
Pays comme sujet:
America do sul
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Brasil
langue:
En
Texte intégral:
Braz J Infect Dis
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Braz. j. infect. dis
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Braz. j. infect. dis. (Online)
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Brazilian journal of infectious diseases (Impresso)
Thème du journal:
DOENCAS TRANSMISSIVEIS
Année:
2024
Type:
Article