Injection drug use and right sided endocarditis

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Injection drug use and right sided endocarditis.

If William Osler were alive today he would no doubt remark on the fundamental change in the nature of the disease that he originally described. Staphylococcal endocarditis in injection drug users is now the dominant form of the disease in many urban communities where there is a high incidence of injection drug use and homelessness. At our institution (a tertiary care, university affiliated hosp...

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Valve disease INJECTION DRUG USE AND RIGHT SIDED ENDOCARDITIS

If William Osler were alive today he would no doubt remark on the fundamental change in the nature of the disease that he originally described. Staphylococcal endocarditis in injection drug users is now the dominant form of the disease in many urban communities where there is a high incidence of injection drug use and homelessness. At our institution (a tertiary care, university affiliated hosp...

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Isolated right-sided valvular endocarditis in non-intravenous drug users.

INTRODUCTION AND OBJECTIVES Characteristics of isolated right-sided endocarditis in patients without a pacemaker and who are not intravenous drug users (IVDU) are poorly understood. The aim of this study was to investigate the current frequency of this entity and describe its clinical, microbiological, echocardiographic and prognostic profile. METHODS We have prospectively analyzed 17 consecu...

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Right-sided endocarditis in the non-drug addict.

Fifteen patients with right-sided infective endocarditis during a 5 year period (1985-1990) were retrospectively reviewed. Isolated tricuspid valve involvement occurred in nine patients. Staphylococcus aureus was the causative organism in seven cases; four were culture negative. The diagnosis was established by two-dimensional echocardiography in 11 patients and at postmortem in the remaining f...

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Right-sided infective endocarditis: recent epidemiologic changes.

BACKGROUND Infective endocarditis (IE) has been increasingly reported, however, little is available regarding recent development of right-sided IE. METHODS Right-sided IE was comprehensively analyzed based on recent 5⅓-year literature. RESULTS Portal of entry, implanted foreign material, and repaired congenital heart defects were the main predisposing risk factors. Vegetation size on the ri...

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ژورنال

عنوان ژورنال: Heart

سال: 2003

ISSN: 0007-0769

DOI: 10.1136/heart.89.5.577