Infective Endocardatis at the Yaounde General Hospital: Clinical aspects and outcome (Case Series)
<p><strong>Introduction: </strong>Infectious endocarditis (IE) is a severe pathology. Its epidemiological, clinical and evolutive profi le varies a lot depending if it is in the context of a developed country or developing country. In our context, very little data exists on the sub...
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Journal of Cardiovascular Medicine and Cardiology - Peertechz Publications,
2017-08-16.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | peertech__10_17352_2455-2976_000050 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Jérôme Boombhi |e author |
700 | 1 | 0 | |a Alain Menanga |e author |
700 | 1 | 0 | |a Bâ Hamadou |e author |
700 | 1 | 0 | |a André- Michel Yomba |e author |
700 | 1 | 0 | |a Samuel Kingue |e author |
245 | 0 | 0 | |a Infective Endocardatis at the Yaounde General Hospital: Clinical aspects and outcome (Case Series) |
260 | |b Journal of Cardiovascular Medicine and Cardiology - Peertechz Publications, |c 2017-08-16. | ||
520 | |a <p><strong>Introduction: </strong>Infectious endocarditis (IE) is a severe pathology. Its epidemiological, clinical and evolutive profi le varies a lot depending if it is in the context of a developed country or developing country. In our context, very little data exists on the subject.</p><p><strong>Objectives:</strong> Describe the clinical aspects and outcome of IE in the Yaoundé general hospital. <strong><br></strong></p><p><strong>Methods: </strong>We carried out a descriptive retrospective study using clinical records of patients who had presented with IE in the cardiology unit of the Yaoundé general hospital from June of 2008 to May of 2013.</p><p><strong>Results: </strong>During this 5year period, 1846 patients were admitted in the cardiology unit and 10 of these cases were IE giving a hospital prevalence of 0.54%. The sex ratio was 1. The average age of the patients was 44.7 +/- 14.2 years. Rhumatismal valvulopathy was found as the most frequent predisposing factor, with 50% of the cases. The most frequent symptoms were fever and a heart murmur, which were found in 100% and 90% of the cases respectively. An infl ammatory syndrome with anaemia was found in 90% of cases, leucocytosis with predominance of polymorphological neutrophils (PMN) in 80%, a raised ESR and CRP in all the patients. Hemocultures were positive only in 30% of the cases; however 60% of the patients had just one pair hemoculture done. Streptococcus was found in 2 cases and staphylococcus in 1 case. On echocardiography, vegetation and valvular regurgitation were found in all the patients. The antibiotherapy protocols were globally in conformity with recommendations and 40% of the patients completed their treatment. We found 4 deaths.</p><p><strong>Conclusion:</strong> IE is a rare pathology in our unit. Rhumatismal valvulopathy is the principal predisposing factor. Its management is limited by technical conditions and economic difficulties.</p> | ||
540 | |a Copyright © Jérôme Boombhi et al. | ||
546 | |a en | ||
655 | 7 | |a Research Article |2 local | |
856 | 4 | 1 | |u https://doi.org/10.17352/2455-2976.000050 |z Connect to this object online. |