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Article

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Published version

Publication date

2019-12-11

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cc-by (c) Dahl, Anders et al., 2019
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/179035

Enterococcus faecalis bacteremia: please do the echo

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https://doi.org/10.18632/aging.102619

Abstract

Infective endocarditis (IE) caused by Enterococcus faecalis (E. faecalis) is a disease of the elderly with an increasing incidence, often health-care associated and with in-hospital mortality rates around 10-20%. E. faecalis IE is notoriously challenging to diagnose due to unspecific symptoms, often presenting with a complex clinical picture with low-grade fever and only moderately elevated infectious parameters. In a newly published prospective multicenter study using echocardiography to screen E. faecalis bacteremia patients, we found an IE prevalence as high as 26%. The 344 included patients with E. faecalis bacteremia had a mean age of 74 (±12) years confirming that it is indeed a disease of the elderly. The key feature of the study was that echocardiography was performed in all patients including transesophageal echocardiography (TEE) in 74%. Transthoracic echocardiography (TTE) missed vegetations in half of the cases where TEE demonstrated vegetations, underlining the importance of TEE.

Subject

Endocarditis, Ecocardiografia

Subject (English)

Endocarditis, Echocardiography

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Articles publicats en revistes (Medicina)
Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer)

Citation

DAHL, Anders, MIRÓ MEDA, José M. (José María) and BRUUN, Niels E. Enterococcus faecalis bacteremia: please do the echo. Aging. 2019. Vol. 11, num. 23, pags. 10786-10787. ISSN 1945-4589. [consulted: 18 of August of 2026]. Available at: https://hdl.handle.net/2445/179035

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