Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1372
5
1
gregorian
1993
8
1
7
2
online
1
fulltext
en
INFECTIVE ENDOCARDITIS: A lO-YEAR STUDY IN SHIRAZ UNIVERSITY HOSPITALS
Internal Medicine
Internal Medicine
Original Research
Original Research
The medical records of all patients discharged with the diagnosis of "infective
endocarditis", "subacute bacterial endocarditis (SBE)," "acute bacterial endocarditis
(ABE)," and "bacterial endocarditis" from March 1977, to February 1987, were
reviewed. 84 cases fulfilled the criteria of endocarditis. Sixty-one percent were male
and the mean age was 25.7 years. 57% were culture-negative and among culturepositive
cases, S. aureus was predominant (44%). Culture-positivity was associated
with higher mortality. Multiple valve involvement was most common (36%).
Among fatal cases, mitral involvement was most common (33%) and mitral
involvement was associated with the highest mortality (22%). 92% of the patients
showed evidence of abnormal heart before development of endocarditis, rheumatic
heart disease being the most common (73%). The mortality rate was 21 % and CNS
complications were the major cause of death. Although much of our results are
consistent with published data, there are some major differences. Points which might
explain these differences are: high incidence of rheumatic heart disease among
Iranians, delay in seeking medical care, indiscriminate use of antibiotics prior to
adequate cultures, and shortcomings in laboratory techniques.
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http://mjiri.iums.ac.ir/browse.php?a_code=A-10-298-640&slc_lang=en&sid=1
NASROLLAH
GHAHRAMANI
20031947532846006185
20031947532846006185
Yes
From the Dept. of Medicine Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
ALI M.
HANDJANI
20031947532846006186
20031947532846006186
No
From the Dept. of Cardiology Section, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.