Journal Article

<i>Streptococcus bovis</i> Endocarditis and Its Association with Chronic Liver Disease: An Underestimated Risk Factor

M. F. Tripodi, L. E. Adinolfi, E. Ragone, E. Durante Mangoni, R. Fortunato, D. Iarussi, G. Ruggiero and R. Utili

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 38, issue 10, pages 1394-1400
Published in print May 2004 | ISSN: 1058-4838
Published online May 2004 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/392503
Streptococcus bovis Endocarditis and Its Association with Chronic Liver Disease: An Underestimated Risk Factor

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Clinical and epidemiological characteristics of Streptococcus bovis endocarditis were prospectively studied among 199 patients with definite endocarditis. Thirty patients (15.1%) had S. bovis endocarditis. Compared with patients with non–S. bovis endocarditis, these 30 patients were older (mean age, 58.6 ± 12.4 years vs. 46.0 ± 17.0 years; P < .001) and had higher rates of bivalvular involvement (43.3% vs. 7.7%; P < .001), embolism (73.3% vs. 40.2%; P = .002), and diskitis (23.3% vs. 0.6% P < .001). In patients with S. bovis biotype I (S. bovis I) endocarditis, advanced liver disease was present in 56.7%, compared with 15.3% of patients with non–S. bovis endocarditis (P < .001), and colonic adenoma was present in 46.7%. The in-hospital mortality rate (16.7%) was correlated with delayed diagnosis and advanced liver diseases. In our city, S. bovis I endocarditis is frequently correlated with liver diseases; diskitis may be the first sign of the disease.

Journal Article.  3892 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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