dc.creator | Escrihuela-Vidal, Francesc | es |
dc.creator | López Cortés, Luis Eduardo | es |
dc.creator | Escolà Vergé, Laura | es |
dc.creator | Alarcón González, Arístides de | es |
dc.creator | Cuervo, Guillermo | es |
dc.creator | Sánchez-Porto, Antonio | es |
dc.creator | Araji Tiliani, Omar | es |
dc.creator | Cueto López, Marina de | es |
dc.creator | Lepe Jiménez, José Antonio | es |
dc.date.accessioned | 2022-12-05T15:23:46Z | |
dc.date.available | 2022-12-05T15:23:46Z | |
dc.date.issued | 2021-06 | |
dc.identifier.citation | 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. | |
dc.identifier.issn | 2328-8957 | es |
dc.identifier.uri | https://hdl.handle.net/11441/140176 | |
dc.description.abstract | 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. | es |
dc.format | application/pdf | es |
dc.format.extent | 7 p. | es |
dc.language.iso | eng | es |
dc.publisher | Oxford University Press | es |
dc.relation.ispartof | Open Forum Infectious Diseases, 8 (6), ofab163. | |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject | infective endocarditis | es |
dc.subject | Streptococcus anginosus | es |
dc.subject | viridans group streptococci | es |
dc.subject | Streptococcus gallolyticus | es |
dc.title | Clinical Features and Outcomes of Streptococcus anginosus Group Infective Endocarditis: A Multicenter Matched Cohort Study | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Microbiología | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.relation.projectID | REIPI RD16/0016/0005 | es |
dc.relation.publisherversion | https://academic.oup.com/ofid/article/8/6/ofab163/6199901 | es |
dc.identifier.doi | 10.1093/ofid/ofab163 | es |
dc.journaltitle | Open Forum Infectious Diseases | es |
dc.publication.volumen | 8 | es |
dc.publication.issue | 6 | es |
dc.publication.initialPage | ofab163 | es |
dc.contributor.funder | Instituto de Salud Carlos III | es |