Streptococcus bovis Endocarditis and Its Association with Chronic Liver Disease: An Underestimated Risk Factor

Tripodi, M. F.; Adinolfi, L. E.; Ragone, E.; Mangoni, E. Durante; Fortunato, R.; Iarussi, D.; Ruggiero, G.; Utiii, R.
May 2004
Clinical Infectious Diseases;5/15/2004, Vol. 38 Issue 10, p1394
Academic Journal
Clinical and epidemiological characteristics of Streptococcus bovis endocarditis were prospectively studied among 199 patients with definite endocarditis. Thirty patients (15.1%) had S. bovis endocarditis. Compared with patients with non-S. bovis endocarditis, these 30 patients were older (mean age, 58.6 ± 12.4 years vs. 46.0 ± 17.0 years; P < .001) and had higher rates of bivalvular involvement (43.3% vs. 7.7%; P < .001), embolism (73.3% vs. 40.2%; P = .002), and diskitis (23.3% vs. 0.6% P< .001). In patients with S. bovis biotype I (S. bovis I) endocarditis, advanced liver disease was present in 56.7%, compared with 15.3% of patients with non-S. bovis endocarditis (P < .001), and colonic adenoma was present in 46.7%. The in-hospital mortality rate (16.7%) was correlated with delayed diagnosis and advanced liver diseases. In our city, S. bovis I endocarditis is frequently correlated with liver diseases; diskitis may be the first sign of the disease.


Related Articles

  • Infective endocarditis in patients with hepatic diseases. Seminari, E.; Silvestri, A.; Ravasio, V.; Ludovisi, S.; Utili, R.; Petrosillo, N.; Castelli, F.; Bassetti, M.; Barbaro, F.; Grossi, P.; Barzaghi, N.; Rizzi, M.; Minoli, L. // European Journal of Clinical Microbiology & Infectious Diseases;Feb2016, Vol. 35 Issue 2, p279 

    Few data have been published regarding the epidemiology and outcome of infective endocarditis (IE) in patients with chronic hepatic disease (CHD). A retrospective analysis of the Studio Endocarditi Italiano (SEI) database was performed to evaluate the epidemiology and outcome of CHD+ patients...

  • False-Positive Liver Scans in Patients with Alcoholic Liver Disease. Kuon, Franklin M.; Redavsky, Amiel Z. // Annals of Internal Medicine;Aug68, Vol. 69 Issue 2, p283 

    Provides case reports on false-positive liver scans in patients with alcoholic liver disease. Profile of the patients; Results of diagnosis; Discussion on the results of the reports.

  • hepatoscopy.  // Taber's Cyclopedic Medical Dictionary (2009);2009, Issue 21, p1063 

    An encyclopedia entry for "hepatoscopy," which refers to the inspection of the liver, is presented.

  • The Budd-Chiari syndrome.  // British Medical Journal;5/19/1979, Vol. 1 Issue 6174, p1302 

    Examines the occurrence of Budd-Chiri syndrome on the liver in London, England. Influence of obstruction to the venous outflow from the liver on the occurrence of the disease; Validity of clinical diagnosis on the syndrome; Effect of the syndrome on liver function.

  • Use three methods to determine if liver extends below costal margin.  // Geriatrics;Jul94, Vol. 49 Issue 7, p54 

    Presents the summary of findings from the study entitled `Detection of the Liver Below the Costal Margin: Comparative Value of Palpation, Light Percussion, and Auscultatory Percussion' conducted by V.E. Gilbert and others published in the 1994 issue of the `South Medical Journal'.

  • Liver profiler now available.  // Dog World;Feb97, Vol. 82 Issue 2, p14 

    Reports on the availability of VetScan, a liver profiler for the analysis of liver disease in small animals and horses as of February 1997. Description of the VetScan procedure; Features of the liver profiler; Test methods of the liver profile.

  • Hepatic Glycogen Storage Diseases (GSD): Accurate and Rapid Diagnosis by Molecular Analysis. Beauchamp, Nicholas; Dalton, A.; Champion, M.; Tanner, M. S.; Sharrard, M. // Journal of Medical Genetics;Sep2005, Vol. 42, pS110 

    Presents an abstract of the article "Hepatic Glycogen Storage Diseases (GSD): Accurate and Rapid Diagnosis by Molecular Analysis," by Nicholas Beauchamp, A. Dalton, M. Champion, M. S. Tanner and M. Sharrard.

  • Hepatobiliary Quiz—9 (2014). Agrawal, Swastik; Dhiman, Radha K. // Experimental & Clinical Hepatology;mar2014, Vol. 4 Issue 1, p79 

    A quiz concerning liver diseases is presented.

  • The Latex-fixation Test in Patients with Liver Disease. Atwater, Edward C.; Jacox, Ralph F. // Annals of Internal Medicine;Mar63, Vol. 58 Issue 3, p419 

    Evaluates results of serological tests in the latex-fixation system of patients with liver disease. Latex-fixation findings for different disease categories; Distribution of latex-fixation titers; Latex reactions during convalescence and recovery.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics