TY - JOUR
T1 - Infective endocarditis in hypertrophic cardiomyopathy
T2 - Case report and review of literature 1961-1982
AU - Zimlichman, R.
AU - Ovsyshcher, I. A.
PY - 1984
Y1 - 1984
N2 - Infective endocarditis in patients with hypertrophic cardiomyopathy is frequently reported, though it may not be uncommon. A case of infective endocarditis in which Streptococcus viridans was isolated from the skin and blood cultures is described in a patient with hypertrophic obstructive cardiomyopathy. The primary event leading to bacteremia and endocarditis was a skin reaction to antiarrhythmic treatment with amiodarone. An analysis of the 39 documented cases of infective endocarditis among approximately 500 patients with hypertrophic carcinomyopathy during the years 1961-1982 is presented. Particular attention is given to the site of infection, type of bacteria, precipitating causes, and mortality rate. In the majority of cases mitral regurgitation and a large intraventricular gradient were found. Endocarditis can involve the aortic or the mitral valve, or both in the same event. The commonest recognized etiologic agent was S. viridans. From a review of the data it is clear that in patients with hypertrophic obstructive cardiomyopathy, preventive treatment for infective endocarditis is mandatory.
AB - Infective endocarditis in patients with hypertrophic cardiomyopathy is frequently reported, though it may not be uncommon. A case of infective endocarditis in which Streptococcus viridans was isolated from the skin and blood cultures is described in a patient with hypertrophic obstructive cardiomyopathy. The primary event leading to bacteremia and endocarditis was a skin reaction to antiarrhythmic treatment with amiodarone. An analysis of the 39 documented cases of infective endocarditis among approximately 500 patients with hypertrophic carcinomyopathy during the years 1961-1982 is presented. Particular attention is given to the site of infection, type of bacteria, precipitating causes, and mortality rate. In the majority of cases mitral regurgitation and a large intraventricular gradient were found. Endocarditis can involve the aortic or the mitral valve, or both in the same event. The commonest recognized etiologic agent was S. viridans. From a review of the data it is clear that in patients with hypertrophic obstructive cardiomyopathy, preventive treatment for infective endocarditis is mandatory.
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AN - SCOPUS:0021615206
SN - 0027-2507
VL - 51
SP - 614
EP - 619
JO - Mount Sinai Journal of Medicine
JF - Mount Sinai Journal of Medicine
IS - 5
ER -