Spondylodiscitis complicating infective endocarditis.
cardiac imaging and diagnostics
endocarditis
Journal
Heart (British Cardiac Society)
ISSN: 1468-201X
Titre abrégé: Heart
Pays: England
ID NLM: 9602087
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
received:
28
12
2019
revised:
20
04
2020
accepted:
20
04
2020
pubmed:
30
5
2020
medline:
30
6
2021
entrez:
30
5
2020
Statut:
ppublish
Résumé
The primary objective was to assess the characteristics and prognosis of pyogenic spondylodiscitis (PS) in patients with infective endocarditis (IE). The secondary objectives were to assess the factors associated with occurrence of PS. Prospective case-control bi-centre study of 1755 patients with definite IE with (n=150) or without (n=1605) PS. Clinical, microbiological and prognostic variables were recorded. Patients with PS were older (mean age 69.7±18 vs 66.2±14; p=0.004) and had more arterial hypertension (48% vs 34.5%; p<0.001) and autoimmune disease (5% vs 2%; p=0.03) than patients without PS. The lumbar vertebrae were the most frequently involved (84 patients, 66%), especially L4-L5. Neurological symptoms were observed in 59% of patients. Enterococci and PS is a frequent complication of IE (8.5% of IE), is observed in older hypertensive patients with enterococcal or
Identifiants
pubmed: 32467102
pii: heartjnl-2019-316492
doi: 10.1136/heartjnl-2019-316492
doi:
Types de publication
Journal Article
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1914-1918Informations de copyright
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.