Changing pattern of infective endocarditis.

Karamat A. Shah; Shahabuddin; M. Hafizullah; M. Inayatullah Arabi; Waheed A. Sahibzada

No Detail Found!

Changing pattern of infective endocarditis.

Author(s)

Karamat A. Shah Cardiology Department, Postgraduate Medical Institute (PGMI), Lady Reeding Hospital, Peshawar, Pakistan

Shahabuddin Cardiology Department, Postgraduate Medical Institute (PGMI), Lady Reeding Hospital, Peshawar, Pakistan

M. Hafizullah Cardiology Department, Postgraduate Medical Institute (PGMI), Lady Reeding Hospital, Peshawar, Pakistan

M. Inayatullah Arabi Cardiology Department, Postgraduate Medical Institute (PGMI), Lady Reeding Hospital, Peshawar, Pakistan

Waheed A. Sahibzada Cardiology Department, Postgraduate Medical Institute (PGMI), Lady Reeding Hospital, Peshawar, Pakistan

Abstract

Forty five indoor patients admitted during 1985-87 with mean age of 19 years are being reported. 37 patients (82%) had pre-existing rheumatic valvular lesions and 8 patients (81%) had underlying congenital heart disease. Two patients had prosthetic valve endocarditis while right-sided endocarditis was found in 8 cases (80%). Fever, anaemia, clubbing, splenomegaly and microscopic haematuria were the common features. Portal of entery could not be established in any case. Blood cultures were positive in 10 cases (22%). On Echocardiography vegetations were seen in 25 cases (55%). Mortality, irrespective of causative organism was 29%. Best therapeutic response was obtained with combination therapy of Penicillin or Cephalosporins, with Gentamycin in 47% and 37% cases respectively. Two cases were sent for urgent surgery.

Publication Details

Page(s) 29-33

DOI DOI not available

Published Journal: Pakistan Heart Journal, Volume: 21, Issue: 2, Year: 1988

Request the full text from PASTIC