Infective Endocarditis in Patients with Liver Cirrhosis
Resource
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION v.103 n.5 pp.355-358
Journal
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
Journal Volume
v.103
Journal Issue
n.5
Pages
355-358
Date Issued
2004
Date
2004
Author(s)
HSU, RON-BIN
Abstract
Background and Purpose: Infective endocarditis complicating liver cirrhosis is infrequently reported. This study evaluated the clinical features of infective endocarditis in Taiwanese patients with liver cirrhosis. Methods: All cases of infective endocarditis occurring in patients with liver cirrhosis from December 1995 to December 2002 were included in this study. Data were collected by retrospective chart review. Results: Twenty six patients (18 males, 8 females) with median age 6 years (range, 43 to 87) were included. The etiology of liver cirrhosis was hepatitis virus infection in 20 patients. There were 7 nosocomial infections. Bacterial pathogens were identified in 25 patients, with Staphyloccus aureus (n = 8), viridans streptococci (n = 4), Streptococcus sanguis (n = 2), Pseudomonas aeruginosa (n = 2 ), and Enterococcus faecalis (n = 2) the most common isolates. The hospital mortality rate was 27%. Patients with in-hospital death were more likely to have a history of uremia, staphyloccal infection, nosocomial infection and less likely to have aortic valve infection. Conclusion: The prognosis of patients with infective endocarditis and liver cirrhosis was poor. Infection with Stapylococcus species was a dominant cause and methicillin resistance was common.
Subjects
endocarditis
bacterial
Liver cirrhosis
retrospective studies
SDGs
Type
journal article