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Infective Endocarditis of the Superior Vena Cava and Right Atrium in Chronic Renal Failure-Juniper Publishers

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JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Infective endocarditis is a life threatening disease if not treated; high incidence is found in patients with immune system compromised and prolonged time with intraluminal catheter. We present a case of a patient with renal chronic disease and an acute gout attack with cardiovascular symptoms and further diagnosed with infective endocarditis. Keywords: Infective endocarditis; Renal failure; Echocardiography; Transesophageal Background Infective endocarditis has an estimated annual incidence of 3 to 9 cases per 100,000 persons in industrialized countries [ 1 ]. The highest rates are observed among patients with prosthetic valves, intracardiac devices, unrepaired cyanotic congenital heart diseases, or a history of infective endocarditis, although 50% of cases of infective endocarditis develop in patients with no known history of valve disease. Othe...

Clinical Profile and Outcome of Infective Endocarditis in a Tertiary Care Centre: Retrospective Study-Juniper Publishers

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JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Objective: This study was conducted to outline the clinical profile and outcomes of infective endocarditic (IE). It provides a contemporary picture of the presentation, etiology and outcomes of IE. Methods: A total of 97 consecutive cases of definitive IE who met the modified Duke’s definitive criteria were included in the study. We analysed their clinic-epidemiologic features and outcomes. Results: The mean age was 34.8±14.6 years with male preponderance (57.7%). Rheumatic heart disease (RHD) (29.8%) was the commonest underlying cause followed by congenital heart disease (CHD) (20.6%). Fever as the main clinical feature was seen in 95.8%. About 61.8% of patients were in New York Heart Association (NYHA) class II. Blood culture was positive in 44.3% with commonest organisms being Staphylococcus aureus (10.3%) and Streptococci viridians (9.3%). Most common valve involvem...