Artículo
Clinical Features and Outcomes of Streptococcus anginosus Group Infective Endocarditis: A Multicenter Matched Cohort Study
Autor/es | Escrihuela-Vidal, Francesc
López Cortés, Luis Eduardo Escolà Vergé, Laura Alarcón González, Arístides de Cuervo, Guillermo Sánchez-Porto, Antonio Araji Tiliani, Omar Cueto López, Marina de Lepe Jiménez, José Antonio |
Departamento | Universidad de Sevilla. Departamento de Microbiología Universidad de Sevilla. Departamento de Cirugía |
Fecha de publicación | 2021-06 |
Fecha de depósito | 2022-12-05 |
Publicado en |
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Resumen | Background
Although Streptococcus anginosus group (SAG) endocarditis is considered a severe disease associated with abscess formation and embolic events, there is limited evidence to support this assumption.
Methods
We ... Background Although Streptococcus anginosus group (SAG) endocarditis is considered a severe disease associated with abscess formation and embolic events, there is limited evidence to support this assumption. Methods We performed a retrospective analysis of prospectively collected data from consecutive patients with definite SAG endocarditis in 28 centers in Spain and Italy. A comparison between cases due to SAG endocarditis and viridans group streptococci (VGS) or Streptococcus gallolyticus group (SGG) was performed in a 1:2 matched analysis. Results Of 5336 consecutive cases of definite endocarditis, 72 (1.4%) were due to SAG and matched with 144 cases due to VGS/SGG. SAG endocarditis was community acquired in 64 (88.9%) cases and affected aortic native valve in 29 (40.3%). When comparing SAG and VGS/SGG endocarditis, no significant differences were found in septic shock (8.3% vs 3.5%, P = .116); valve disorder, including perforation (22.2% vs 18.1%, P = .584), pseudoaneurysm (16.7% vs 8.3%, P = .108), or prosthesis dehiscence (1.4% vs 6.3%, P = .170); paravalvular complications, including abscess (25% vs 18.8%, P = .264) and intracardiac fistula (5.6% vs 3.5%, P = .485); heart failure (34.7% vs 38.9%, P = .655); or embolic events (41.7% vs 32.6%, P = .248). Indications for surgery (70.8% vs 70.8%; P = 1) and mortality (13.9% vs 16.7%; P = .741) were similar between groups. Conclusions SAG endocarditis is an infrequent but serious condition that presents a prognosis similar to that of VGS/SGG. |
Agencias financiadoras | Instituto de Salud Carlos III |
Identificador del proyecto | REIPI RD16/0016/0005 |
Cita | Escrihuela-Vidal, F., López Cortés, L.E., Escolà Vergé, L., Alarcón González, A.d., Cuervo, G., Sánchez-Porto, A.,...,Lepe Jiménez, J.A. (2021). Clinical Features and Outcomes of Streptococcus anginosus Group Infective Endocarditis: A Multicenter Matched Cohort Study. Open Forum Infectious Diseases, 8 (6), ofab163. https://doi.org/10.1093/ofid/ofab163. |
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