Miniatura

Fitxers

733682.pdf (501.09 KB)

Tipus de document

Article

Versió

Versió acceptada

Data de publicació

2023-01-05

Llicència de publicació

cc-by-nc-nd (c) Elsevier, 2023
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/198071

Species and biotypes of Streptococcus bovis causing infective endocarditis

Títol de la revista

Autors

Director/Tutor

ISSN de la revista

Títol del volum

Recurs relacionat

https://doi.org/10.1016/j.eimce.2021.08.017

Resum

Introduction: Streptococcus bovis/equinus complex (SBEC) is a major cause of infective endocarditis (IE), although its incidence varies greatly depending on the geographical area. The characteristics of IE caused by Streptococcus gallolyticus susp. gallolyticus are well known; there are hardly any descriptions of IE caused by other species or biotypes. Methods: Retrospective cohort study, from 1990 to 2019, of all SBEC IE in adults in three Spanish hospitals, Lugo (LH), Barcelona (BH) and Ferrol (FH) where the population is mainly rural, urban and mixed, respectively. The incidence of IE was analyzed in 3 areas. Clinical characteristics of IE (277 cases, 258 biotyped) were compared according to SBEC species and biotypes. Results: There are significant differences between the incidence of SBEC IE in HL (27.9/106) vs. HF and HB (8.8 and 7,1, respectively, p<0.001). We found significant differences (SbI vs. SbII) in mean age (68.5 vs. 73 years; p<0.01), duration of symptoms before diagnosis (46.9±46.5 vs. 30.4±40.9 days; p<0.01), presence of comorbidities: 39.1% (78) vs. 54.2% (32; p<0.04), predisposing heart illness:62.3% (124) vs. 81.3% (48; p<0.006), particularly, prosthetic or intravascular devices IE: 24.6% (49) vs. 52.4% (31; p<0.001), bi-valve involvement:23.6% (47) vs. 11.8% (7; p<0.05) and heart failure: 24.6% (49) vs. 38.9% (23; p<0.03). There were no significant differences in embolic events, need for surgery or mortality. The association with CRC was high in both groups: 77.7% vs. 66.6%. Conclusions: IE due to SBEC has geographical variations in incidence and different clinical characteristics among biotypes. The association with CRC was high.

Matèries

Endocarditis, Adults, Càncer colorectal, Biotips

Matèries (anglès)

Endocarditis, Adulthood, Colorectal cancer, Biotypes

Citació

Col·leccions

Articles publicats en revistes (Ciències Clíniques)

Citació

CORREDOIRA, Juan, GRAU, Inma, GARCIA-RODRIGUEZ, Jose francisco, ROMAY, Eva, CUERVO REQUENA, Guillermo, BERBEL, Dàmaris, AYUSO, Blanca, GARCÍA PAÍS, Maria josé, RABUÑAL, Román, GARCÍA GARROTE, Fernando, ALONSO, Maria pilar, PALLARÉS GINER, Roman. Species and biotypes of Streptococcus bovis causing infective endocarditis. _Enfermedades Infecciosas y Microbiologia Clinica_. 2023. Vol. S2529, núm. 22, pàgs. 304-305. [consulta: 9 de gener de 2026]. ISSN: 0213-005X. [Disponible a: https://hdl.handle.net/2445/198071]

Exportar metadades

JSON - METS

Compartir registre