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Risk and Outcome of Infective Endocarditis in Streptococcal Bloodstream Infections according to Streptococcal Species

Hyeonji Seo, Junho Hyun, Haein Kim, Sung Hee Park, Hyemin Chung, Seongman Bae, Jiwon Jung, Min Jae Kim, Sung‐Han Kim, Sang‐Oh Lee, Sang‐Ho Choi, Yang Soo Kim, Yong Pil Chong

2023Microbiology Spectrum24 citationsDOIOpen Access PDF

Abstract

Our study of risk of infective endocarditis in patients with streptococcal bloodstream infection demonstrated that Streptococcus sanguinis, S. mutans, and S. gallolyticus were significantly associated with higher risk of infective endocarditis. However, when we evaluated the performance of echocardiography in patients with streptococcal bloodstream infection, patients with S. mutans and S. gordonii bloodstream infection had a tendency of low performance in echocardiography. There are significant differences in the prevalence of infective endocarditis in streptococcal bloodstream infection according to species. Therefore, performing echocardiography in streptococcal bloodstream infection with a high prevalence of, and significant association with, infective endocarditis is desirable.

Topics & Concepts

MedicineInfective endocarditisInternal medicineBacteremiaEndocarditisRetrospective cohort studyMultivariate analysisViridans streptococciStreptococcusMicrobiologyAntibioticsBiologyGeneticsBacteriaInfective Endocarditis Diagnosis and ManagementStreptococcal Infections and TreatmentsAntimicrobial Resistance in Staphylococcus