| Streptococcus bovis endocarditis and its association with chronic liver disease: an underestimated risk factor. | |
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MedLine Citation:
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PMID: 15156477 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Clinical and epidemiological characteristics of Streptococcus bovis endocarditis were prospectively studied among 199 patients with definite endocarditis. Thirty patients (15.1%) had S. bovis endocarditis. Compared with patients with non-S. bovis endocarditis, these 30 patients were older (mean age, 58.6+/-12.4 years vs. 46.0+/-17.0 years; P<.001) and had higher rates of bivalvular involvement (43.3% vs. 7.7%; P<.001), embolism (73.3% vs. 40.2%; P=.002), and diskitis (23.3% vs. 0.6% P<.001). In patients with S. bovis biotype I (S. bovis I) endocarditis, advanced liver disease was present in 56.7%, compared with 15.3% of patients with non-S. bovis endocarditis (P<.001), and colonic adenoma was present in 46.7%. The in-hospital mortality rate (16.7%) was correlated with delayed diagnosis and advanced liver diseases. In our city, S. bovis I endocarditis is frequently correlated with liver diseases; diskitis may be the first sign of the disease. |
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Authors:
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M F Tripodi; L E Adinolfi; E Ragone; E Durante Mangoni; R Fortunato; D Iarussi; G Ruggiero; R Utili |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2004-04-28 |
Journal Detail:
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Title: Clinical infectious diseases : an official publication of the Infectious Diseases Society of America Volume: 38 ISSN: 1537-6591 ISO Abbreviation: Clin. Infect. Dis. Publication Date: 2004 May |
Date Detail:
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Created Date: 2004-05-24 Completed Date: 2004-07-22 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9203213 Medline TA: Clin Infect Dis Country: United States |
Other Details:
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Languages: eng Pagination: 1394-400 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Second University of Naples, I-80135 Naples, Italy. Mariefranc.tripodi@unina2.it |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Bacterial Agents
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pharmacology Chronic Disease Colonic Neoplasms Discitis / etiology* Embolism / etiology Endocarditis, Bacterial / complications*, mortality Female Gastrointestinal Diseases / complications Humans Liver Diseases / complications*, epidemiology Liver Function Tests Male Middle Aged Risk Factors* Streptococcal Infections / complications*, mortality Streptococcus bovis* / drug effects |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
| Comments/Corrections | |
Comment In:
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Clin Infect Dis. 2004 Nov 15;39(10):1551; author reply 1551
[PMID:
15546102
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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