scholarly journals Impact of early surgery in non-complicated left-sided native-valve infective endocarditis with large vegetations

2022 ◽  
Vol 14 (1) ◽  
pp. 62
Author(s):  
Y. Bohbot ◽  
I. Limouzineau ◽  
F. Peugnet ◽  
F. Arregle ◽  
G. Habib ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Early Surgery ◽  
Native Valve

scholarly journals Early surgery for native valve infective endocarditis

Critical Care ◽  
2013 ◽  
Vol 17 (1) ◽  
Author(s):  
Khursheed Haider ◽  
Michael R Pinsky
Keyword(s):  
Infective Endocarditis ◽  
Early Surgery ◽  
Native Valve

scholarly journals Impact of early surgery in the active phase on long-term outcomes in left-sided native valve infective endocarditis

2011 ◽  
Vol 142 (4) ◽  
pp. 836-842.e1 ◽  
Author(s):  
Shunsuke Funakoshi ◽  
Shuichiro Kaji ◽  
Atsushi Yamamuro ◽  
Tomoko Tani ◽  
Makoto Kinoshita ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Active Phase ◽  
Early Surgery ◽  
Long Term Outcomes ◽  
Native Valve

scholarly journals Impact of early surgery in non-complicated left-sided native-valve infective endocarditis with large vegetations

2021 ◽  
Vol 13 (3) ◽  
pp. 249
Author(s):  
Y. Bohbot ◽  
I. Limouzineau ◽  
F. Peugnet ◽  
F. Arregle ◽  
G. Habib ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Early Surgery ◽  
Native Valve

Abstract TMP87: Early Surgery for Infective Endocarditis with Stroke Does Not Increase Post-operative Neurological Complications: What are We Waiting For?

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Lucy Q Zhang ◽  
Sung Cho ◽  
Robert Marquardt ◽  
Prateek Thatikunta ◽  
M. Shazam Hussain ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Valve Replacement ◽  
Hemorrhagic Stroke ◽  
Neurological Complication ◽  
Neurological Complications ◽  
Early Surgery ◽  
Optimal Timing ◽  
Native Valve ◽  
Cerebral Angiogram ◽  
Duke Criteria

Introduction: Ischemic and hemorrhagic stroke often complicate infective endocarditis (IE). Optimal timing of surgical intervention for IE with stroke remains controversial. We compared neurological outcomes of early and delayed valve surgery for IE complicated by stroke. Methods: We reviewed 73 patients with acute IE by Duke Criteria who underwent brain imaging (CT, MRI, or cerebral angiogram) before valve operations between December 2014 and August 2016. Date of IE diagnosis was defined as date of antibiotic initiation. Early surgery was defined as valve replacement ≤14 days from date of IE diagnosis and delayed surgery as >14 days. Neurological complication is defined as delirium >72 hours after extubation and cessation of sedation, new ischemic or hemorrhagic stroke. Results: Among 73 patients who underwent valve replacement surgery, 71 had evidence of stroke on imaging: 54 patients with acute or subacute ischemic infarct, 9 patients with evidence of intracerebral hemorrhage, and 8 patients with subarachnoid hemorrhage. The median time from IE diagnosis to surgery was 9 days. Forty patients had early surgery, and 33 patients had late surgery. Early surgery group had fewer patients with history of ischemic stroke (55% vs 79%, p=0.033), fewer acute or subacute infarcts on imaging (63% vs 88% p=0.016), but more native valve infections (73% vs 45%, p=0.018). The incidence of post-operative stroke was similar between both groups (2.5% vs 9%, p=0.32). In the delayed group, ischemic strokes occurred in 4 patients awaiting surgery. Hypertension and diabetes mellitus were associated with post-operative neurological complications (p<0.05), but pre-operative stroke on imaging was not. Conclusion: In IE patients with acute stroke, early surgery does not appear to increase post-operative neurological complications.

The Role of the Coagulase-negative Staphylococci (CoNS) in Infective Endocarditis; A Narrative Review from 2000 to 2020

2020 ◽  
Vol 21 (12) ◽  
pp. 1140-1153 ◽  
Author(s):  
Mohammad A. Noshak ◽  
Mohammad A. Rezaee ◽  
Alka Hasani ◽  
Mehdi Mirzaii
Keyword(s):  
Foreign Body ◽  
Infective Endocarditis ◽  
Prosthetic Valve ◽  
Human Life ◽  
Prosthetic Valve Endocarditis ◽  
Surgical Site Infections ◽  
Coagulase Negative Staphylococci ◽  
Native Valve ◽  
Native Valve Endocarditis

Coagulase-negative staphylococci (CoNS) are part of the microbiota of human skin and rarely linked with soft tissue infections. In recent years, CoNS species considered as one of the major nosocomial pathogens and can cause several infections such as catheter-acquired sepsis, skin infection, urinary tract infection, endophthalmitis, central nervous system shunt infection, surgical site infections, and foreign body infection. These microorganisms have a significant impact on human life and health and, as typical opportunists, cause peritonitis in individuals undergoing peritoneal dialysis. Moreover, it is revealed that these potential pathogens are mainly related to the use of indwelling or implanted in a foreign body and cause infective endocarditis (both native valve endocarditis and prosthetic valve endocarditis) in patients. In general, approximately eight percent of all cases of native valve endocarditis is associated with CoNS species, and these organisms cause death in 25% of all native valve endocarditis cases. Moreover, it is revealed that methicillin-resistant CoNS species cause 60 % of all prosthetic valve endocarditis cases. In this review, we describe the role of the CoNS species in infective endocarditis, and we explicated the reported cases of CoNS infective endocarditis in the literature from 2000 to 2020 to determine the role of CoNS in the process of infective endocarditis.

Native valve Staphylococcus capitis infective endocarditis: a mini review

Infection ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 3-5 ◽  
Author(s):  
Hussam Eddin Talhat Al Hennawi ◽  
Elham Mohammed Mahdi ◽  
Ziad A. Memish
Keyword(s):  
Infective Endocarditis ◽  
Native Valve ◽  
Staphylococcus Capitis

scholarly journals Corynebacterium jeikeium native valve infective endocarditis case report: a confirmed microbiological and pathological diagnosis from heart valvular tissue

2020 ◽  
Author(s):  
Wentzel Bruce Dowling ◽  
Johan Koen
Keyword(s):  
Infective Endocarditis ◽  
Aortic Valve ◽  
Penicillin G ◽  
Peripheral Vascular ◽  
Native Valve ◽  
Valve Tissue ◽  
Case Summary ◽  
Duke Criteria ◽  
G Prior ◽  
Initial Blood

Abstract Background The Modified Duke criteria is an important structured schematic for the diagnosis of infective endocarditis (IE). Corynebacterium jeikeium is a rare cause of IE that is often resistant to standard IE anti-microbials. We present a case of C. jeikeium IE, fulfilling the Modified Duke pathological criteria. Case summary A 50-year-old male presented with left leg peripheral vascular disease with septic changes requiring amputation. Routine echocardiography post-amputation demonstrated severe aortic valve regurgitation with vegetations that required valve replacement. Two initial blood cultures from a single venepuncture showed Streptococcus mitis which was treated with penicillin G prior to surgery. Subsequent aortic valve tissue cultured C. jeikeium with suggestive IE histological valvular changes and was successfully treated on a prolonged course of vancomycin. Discussion This is the first C. jeikeium IE case diagnosed on heart valvular tissue culture and highlights the importance for the fulfilment of the Modified Duke criteria in diagnosing left-sided IE. Mixed infection IE is rare, and this case possibly represents an unmasking of resistant C. jeikeium IE following initial treatment of penicillin G.

scholarly journals IMPACT OF EARLY SURGERY ON LONG-TERM PROGNOSIS IN ACTIVE LEFT-SIDED INFECTIVE ENDOCARDITIS

2010 ◽  
Vol 55 (10) ◽  
pp. A147.E1376
Author(s):  
Shunsuke Funakoshi ◽  
Shuichiro Kaji ◽  
Noriyuki Kimura ◽  
Yoshimori An ◽  
Kite Kim ◽  
...  
Keyword(s):  
Infective Endocarditis ◽  
Early Surgery ◽  
Long Term Prognosis
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