Systematic Search for Present and Potential Portals of Entry for Infective Endocarditis

Journal of the American College of Cardiology
F DelahayeFrançois Vandenesch

Abstract

Looking for and treating the portal of entry (POE) of infective endocarditis (IE) is important, but published research on this topic is nonexistent. The goal of this study was to systematically search for the POEs of present and potentially new episodes of IEs. Patients were systematically seen by a stomatologist, an ear, nose, and throat specialist, and a urologist; women were systematically seen by a gynecologist; patients were seen by a dermatologist when there were cutaneous and/or mucous lesions. Colonoscopy and gastroscopy were performed if the microorganism came from the gastrointestinal tract in patients ≥50 years of age and in those with familial histories of colonic polyposis. Treatment of the POE was systematically considered. The POEs of the present IE episodes were identified in 74% of the 318 included patients. The most frequent POE was cutaneous (40% of identified POEs). It was mainly (62% of cutaneous POEs) associated with health care and with intravenous drug use. The second most frequent POE was oral or dental (29%). A dental infectious focus was more often involved (59% of oral or dental POEs) than a dental procedure (12%). POEs were gastrointestinal in 23% of patients. Colonic polyps were found in one-half o...Continue Reading

References

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Citations

Jan 23, 2016·Journal of the American College of Cardiology·Vivian H Chu
Aug 16, 2016·Journal of the American College of Cardiology·Vincent Baty
Aug 16, 2016·Journal of the American College of Cardiology·François DelahayeFrançois Vandenesch
Sep 2, 2016·Nature Reviews. Disease Primers·Thomas L HollandVance G Fowler
Jan 12, 2017·Expert Review of Cardiovascular Therapy·Benson Njuguna, Francois Delahaye
Jan 13, 2018·Journal of Cardiovascular Medicine·Francesco BovenziLauro Cortigiani
Jun 9, 2019·Nature Reviews. Cardiology·Bernard Iung, Xavier Duval
Jul 5, 2018·JAMA : the Journal of the American Medical Association·Andrew WangVivian H Chu
Feb 16, 2020·The International Journal of Cardiovascular Imaging·Sarah Louise Kjølhede HolleKasper Karmark Iversen
Jan 1, 2016·Terapevticheskiĭ arkhiv·G G TaradinA S Smyrnova
Feb 27, 2021·Heart·Hiroyuki OhbeHideo Yasunaga
Mar 3, 2021·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Catarina de SousaFausto J Pinto
Mar 12, 2021·Frontiers in Medicine·Guillermo CuervoJordi Carratalà
May 17, 2019·La Presse médicale·Xavier DuvalBernard Iung
May 22, 2019·La Presse médicale·François Delahaye, Guy De Gevigney
Nov 12, 2020·Hellenic Journal of Cardiology : HJC = Hellēnikē Kardiologikē Epitheōrēsē·Richard RezarBernhard Wernly
Jul 3, 2021·Microorganisms·Carmela Del GiudiceGiuseppe Rengo
Aug 5, 2021·Open Heart·Cullen GrableSaamir A Hassan
Dec 4, 2021·Frontiers in Cardiovascular Medicine·Bernard CosynsGilbert Habib

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