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https://doi.org/10.1093/ofid/ofab163
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Título: | Clinical features and outcomes of streptococcus anginosus group Infective endocarditis: A multicenter matched cohort study |
Fecha de publicación: | 25-mar-2021 |
Editorial: | Oxford University Press |
Cita bibliográfica: | Open Forum Infectious Diseases, Volume 8, Issue 6, June 2021, ofab163 |
ISSN: | Electronic: 2328-8957 |
Palabras clave: | Infective endocarditis Streptococcus anginosus Viridans group streptococci Streptococcus gallolyticus |
Resumen: | Background. Although Streptococcus anginosus group (SAG) endocarditis is considered a severe disease associated with abscess formation and embolic events, there is limited evidence to support this assumption. Methods. We performed a retrospective analysis of prospectively collected data from consecutive patients with definite SAG endocarditis in 28 centers in Spain and Italy. A comparison between cases due to SAG endocarditis and viridans group streptococci (VGS) or Streptococcus gallolyticus group (SGG) was performed in a 1:2 matched analysis. Results. Of 5336 consecutive cases of definite endocarditis, 72 (1.4%) were due to SAG and matched with 144 cases due to VGS/ SGG. SAG endocarditis was community acquired in 64 (88.9%) cases and affected aortic native valve in 29 (40.3%). When comparing SAG and VGS/SGG endocarditis, no significant differences were found in septic shock (8.3% vs 3.5%, P = .116); valve disorder, including perforation (22.2% vs 18.1%, P = .584), pseudoaneurysm (16.7% vs 8.3%, P = .108), or prosthesis dehiscence (1.4% vs 6.3%, P = .170); paravalvular complications, including abscess (25% vs 18.8%, P = .264) and intracardiac fistula (5.6% vs 3.5%, P = .485); heart failure (34.7% vs 38.9%, P = .655); or embolic events (41.7% vs 32.6%, P = .248). Indications for surgery (70.8% vs 70.8%; P = 1) and mortality (13.9% vs 16.7%; P = .741) were similar between groups. Conclusions. SAG endocarditis is an infrequent but serious condition that presents a prognosis similar to that of VGS/SGG. |
Autor/es principal/es: | Escrihuela-Vidal, Francesc López-Cortés, Luis Eduardo Escolà-Vergé, Laura Alarcón González, Arístides de Cuervo, Guillermo Sánchez-Porto, Antonio Fernández-Hidalgo, Nuria Luque, Rafael Montejo, Miguel Miró, José M. Goenaga, Miguel Ángel Muñoz, Patricia Valerio, Maricela Ripa, Marco Sousa-Regueiro, Dolores Gurguí, Mercé Fariñas-Álvarez, María Carmen Mateu, Lourdes García-Vázquez, Elisa Gálvez-Acebal, Juan Carratalà, Jordi Grupo de Apoyo al Manejo de la Endocarditis Infecciosa en España (GAMES) Barcelona Endocarditis Study Team (BEST) |
Facultad/Departamentos/Servicios: | Facultades, Departamentos, Servicios y Escuelas::Departamentos de la UMU::Medicina Interna |
Versión del editor: | https://academic.oup.com/ofid/article/8/6/ofab163/6199901?searchresult=1 |
URI: | http://hdl.handle.net/10201/142707 |
DOI: | https://doi.org/10.1093/ofid/ofab163 |
Tipo de documento: | info:eu-repo/semantics/article |
Número páginas / Extensión: | 7 |
Derechos: | info:eu-repo/semantics/openAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
Descripción: | ©2021 he Author(s). Oxford University Press . This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. This document is the Published, version of a Published Work that appeared in final form in Open Forum Infectious Diseases. To access the final edited and published work see https://doi.org/10.1093/ofid/ofab163 |
Aparece en las colecciones: | Artículos: Medicina |
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