| dc.creator | Mello, Renato | |
| dc.creator | Santos, Marisa da Silva | |
| dc.creator | Golebiosvki, Wilma | |
| dc.creator | Weksler, Clara | |
| dc.creator | Lamas, Cristiane | |
| dc.date | 2019-03-27T12:17:18Z | |
| dc.date | 2019-03-27T12:17:18Z | |
| dc.date | 2015 | |
| dc.date.accessioned | 2023-09-26T20:21:46Z | |
| dc.date.available | 2023-09-26T20:21:46Z | |
| dc.identifier | 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. | |
| dc.identifier | 1413-8670 | |
| dc.identifier | https://www.arca.fiocruz.br/handle/icict/32239 | |
| dc.identifier | 10.1016/j.bjid.2014.12.007 | |
| dc.identifier | 1678-4391 | |
| dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/8855160 | |
| dc.description | 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. | |
| dc.description | 2023-01-28 | |
| dc.format | application/pdf | |
| dc.language | eng | |
| dc.publisher | Elsevier | |
| dc.rights | restricted access | |
| dc.subject | Infective endocarditis | |
| dc.subject | Streptococcus bovis group | |
| dc.subject | Cardiac surgery | |
| dc.subject | Colonic lesions | |
| dc.title | Streptococcus bovis endocarditis: analysis of cases between 2005 and 2014 | |
| dc.type | Article | |
