Please use this identifier to cite or link to this item:
http://hdl.handle.net/2445/184342
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Gutiérrez Villanueva, Andrea | - |
dc.contributor.author | Muñoz, Patricia | - |
dc.contributor.author | Delgado Montero, Antonio | - |
dc.contributor.author | Olmedo Samperio, María | - |
dc.contributor.author | Alarcón, Aristides de | - |
dc.contributor.author | Gutiérrez Carretero, Encarnación | - |
dc.contributor.author | Zarauza, Jesús | - |
dc.contributor.author | García i Pares, Delia | - |
dc.contributor.author | Goenaga Sánchez, Miguel Ángel | - |
dc.contributor.author | Ojeda Burgos, Guillermo | - |
dc.contributor.author | Goikoetxea Agirre, Ane Josune | - |
dc.contributor.author | Reguera Iglesias, José M. | - |
dc.contributor.author | Ramos, Antonio | - |
dc.contributor.author | Fernández Cruz, Ana | - |
dc.contributor.author | Spanish Collaboration on Endocarditis | - |
dc.contributor.author | Grupo de Apoyo al Manejo de la Endocarditis infecciosa en España (GAMES) | - |
dc.date.accessioned | 2022-03-23T08:59:44Z | - |
dc.date.available | 2022-03-23T08:59:44Z | - |
dc.date.issued | 2021-03-01 | - |
dc.identifier.issn | 2193-8229 | - |
dc.identifier.uri | http://hdl.handle.net/2445/184342 | - |
dc.description.abstract | Introduction: Mural infective endocarditis (MIE) is a rare type of endovascular infection. We present a comprehensive series of patients with mural endocarditis. Methods: Patients with infectious endocarditis (IE) from 35 Spanish hospitals were prospectively included in the GAMES registry between 2008 and 2017. MIEs were compared to non-MIEs. We also performed a literature search for cases of MIE published between 1979 and 2019 and compared them to the GAMEs series. Results: Twenty-seven MIEs out of 3676 IEs were included. When compared to valvular IE (VIE) or device-associated IE (DIE), patients with MIE were younger (median age 59 years, p < 0.01). Transplantation (18.5% versus 1.6% VIE and 2% DIE, p < 0.01), hemodialysis (18.5% versus 4.3% VIE and 4.4% DIE, p = 0.006), catheter source (59.3% versus 9.7% VIE and 8.8% DIE, p < 0.01) and Candida etiology (22.2% versus 2% DIE and 1.2% VIE, p < 0.01) were more common in MIE, whereas the Charlson Index was lower (4 versus 5 in non-MIE, p = 0.006). Mortality was similar. MIE from the literature shared many characteristics with MIE from GAMES, although patients were younger (45 years vs. 56 years, p < 0.001), the Charlson Index was lower (1.3 vs. 4.3, p = 0.0001), catheter source was less common (13.9% vs. 59.3%) and there were more IVDUs (25% vs. 3.7%). S. aureus was the most frequent microorganism (50%, p = 0.035). Systemic complications were more common but mortality was similar. Conclusion: MIE is a rare entity. It is often a complication of catheter use, particularly in immunocompromised and hemodialysis patients. Fungal etiology is common. Mortality is similar to other IEs. | - |
dc.format.extent | 16 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Springer Nature | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1007/s40121-021-00490-y | - |
dc.relation.ispartof | Infectious Diseases and Therapy, 2021, vol. 10, num. 4, p. 2749-2764 | - |
dc.relation.uri | https://doi.org/10.1007/s40121-021-00490-y | - |
dc.rights | cc-by-nc (c) Gutiérrez Villanueva, Andrea et al., 2021 | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc/4.0/ | - |
dc.source | Articles publicats en revistes (Medicina) | - |
dc.subject.classification | Endocarditis | - |
dc.subject.classification | Infeccions | - |
dc.subject.classification | Malalts hospitalitzats | - |
dc.subject.other | Endocarditis | - |
dc.subject.other | Infections | - |
dc.subject.other | Hospital patients | - |
dc.title | Mural Endocarditis: The GAMES Registry Series and Review of the Literature | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 718516 | - |
dc.date.updated | 2022-03-23T08:59:44Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.idimarina | 9274791 | - |
dc.identifier.pmid | 34312819 | - |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
718516.pdf | 1.9 MB | Adobe PDF | View/Open |
This item is licensed under a
Creative Commons License