Infective endocarditis: clinical presentation and complications. Moroccan experience.

VOL 5 ISSUE 5
DOI: 10.5083ejcm20424884.161 , Cite or Link Using DOI
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Fennich Hala MD, Bentahar Karima MD, El Haddaji Selsabille MD, Zarzur Jamila MD, Cherti Mohamed MD

ABSTRACT

Background:

Introduction: Clinical and epidemiological features of infective endocarditis(IE) are different in each country. We aimed to study complications of IE in a developing country such as Morocco and whether the predisposing factors for complications match those reported in other studies.

Methods: we performed a prospective descriptive study in the department of cardiology B of university hospital Ibn Sina in Rabat from June 2015 to December 2016 with a follow up of 3 months. 33 patients were included. The statistical analyse was performed using SPSS Software.

Results: in the study period, 33 episodes of definite were included. We separated patients in 2 groups: group1 without complications (16 patients) and group 2 with complications (17 patients). The clinical characteristics were similar in booth groups. The biological findings showed that high level of white cells count and erythrocyte sedimentation rate were associated to complications with a significant difference (p=0.02; p=0.008 respectively). Same association was found for positive blood culture. The number of valve involvement and the site of infection had no impact in our study on the occurrence of complications. We found that vegetation’s size≥ 15mm and the presence of peri-annular extension had a significantly higher incidence in complications.

Conclusion: In our population; complications occur mostly when the diagnosis is delayed and the peri valvular extension is so the most frequent complication observed. Moroccan patients need to be aware of the severity of IE and consult earlier before local extension.