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Profile of right-sided endocarditis: an Indian experience.
- Source :
-
International journal of cardiology [Int J Cardiol] 1991 Oct; Vol. 33 (1), pp. 83-8. - Publication Year :
- 1991
-
Abstract
- The clinical profile of right-sided infective endocarditis in India was studied from a review of records of patients with infective endocarditis admitted to this hospital. From November 1982 to November 1989, 109 patients with infective endocarditis showed vegetations on cross-sectional echocardiography confirming the diagnosis of infective endocarditis. In 19 (17.4%) patients, only the right side of the heart was involved: specifically the tricuspid valve alone in 10; tricuspid and pulmonary valves in 4; tricuspid valve and right ventricular outflow tract in 1; tricuspid valve and right ventricular free wall in 1; pulmonary valve alone in 2; and bifurcation of pulmonary trunk in 1. Eleven patients (57.9%) had underlying congenital heart disease whereas the remaining 8 patients (42.1%) did not have any underlying heart disease. The latter group, therefore, had isolated right-sided infective endocarditis. Previous illnesses leading to isolated right-sided infective endocarditis were: puerperal sepsis in 4; septic abortion in 1; staphylococcal pneumonia in 2; and epididymoorchitis in one. Eight out of 11 patients with congenital heart disease did not report any previous illness. In the remaining 3, right-sided endocarditis followed cardiac surgery in one; dental extraction without prophylaxis in one; and pulmonary balloon valvoplasty in one. All patients with isolated right-sided infective endocarditis had features of septicaemia, but a murmur of tricuspid regurgitation was audible in only 4 (50%) of them. We conclude that, unlike western reports, the pattern of right-sided infective endocarditis in India is different. No drug addict with right-sided infective endocarditis was seen; puerperal sepsis and septic abortion were the commonest causes of isolated right-sided infective endocarditis.(ABSTRACT TRUNCATED AT 250 WORDS)
- Subjects :
- Abortion, Septic complications
Adolescent
Adult
Echocardiography
Endocarditis, Bacterial diagnostic imaging
Female
Heart Defects, Congenital complications
Humans
Incidence
India epidemiology
Male
Pregnancy
Puerperal Infection complications
Pulmonary Valve diagnostic imaging
Substance Abuse, Intravenous epidemiology
Tricuspid Valve diagnostic imaging
Endocarditis, Bacterial epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 0167-5273
- Volume :
- 33
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- International journal of cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 1937986
- Full Text :
- https://doi.org/10.1016/0167-5273(91)90155-i