A case of subacute bacterial endocarditis due to Actinobacillus actinomycetemcomitans followed dental extraction under penicillin cover. Isolation of the organism was only achieved by incubating blood cultures in a CO(2)-enriched atmosphere. The patient was successfully treated with streptomycin.

OBJECTIVE To evaluate whether perioperative bacteria identification in blood and/or in valve cultures can predict early and late outcome of surgery for infective endocarditis, a retrospective study was performed. METHODS Between January 1978 and December 1998, 232 patients, 79 (34.1%) female and 153 (65.9%) male with mean age of 44. 95+/-1.03 years (range 8-79) underwent surgery for infective...

Infective endocarditis continues to be a life-threatening disease despite the availability of antimicrobial agents.' Even with successful antibiotic treatment, death in intractable heart failure is common because of aortic valve destruction. Furthermore, with the increased scope of cardiac surgical procedures, one of the most serious causes of postoperative failure is infection upon prosthetic ...

A 42-year-old patient was successfully treated for subacute bacterial endocarditis due to Esch. coli with oral trimethoprim and sulphamethoxazole. The treatment lasted nine months and was continued through a period of cholestatic jaundice superimposed on hepatic damage due to subacute bacterial endocarditis. There were no toxic effects attributable to the two antibacterials despite their prolon...

Embolic occlusion of the peripheral vessels is common in bacterial endocarditis, especially during the terminal stages, but occlusion of the coronary artery in this disease is unusual at any time. Virchow (1856) described coronary embolism in a case of recent endocarditis. Saphir (1933) surveying earlier reports of coronary embolism from all causes, found 35 cases reported since Virchow's origi...

Objective Despite improvements in its management, infective endocarditis (IE) is associated with poor survival. The aim of this study was to evaluate the impact of a multidisciplinary endocarditis team (ET), including a cardiologist, microbiologist and a cardiac surgeon, on the outcome of patients with acute IE according to medical or surgical treatment strategies. Methods We conducted an obs...