Infective endocarditis: clinical presentation and complications. Moroccan experience.

DOI: 10.5083ejcm20424884.161 , Cite or Link Using DOI
Creating a Digital Object Identifier Link

A digital object identifier (DOI) can be used to cite and link to electronic documents. A DOI is guaranteed never to change, so you can use it to link permanently to electronic documents.

To find a document using a DOI

  1. Copy the DOI of the document you want to open.
    The correct format for citing a DOI is as follows: doi:10.1016/S0140-6736(08)61345-8
  2. Open the following DOI site in your browser:
  3. Enter the entire DOI citation in the text box provided, and then click Go.
    The document that matches the DOI citation will display in your browser window.

The DOI scheme is administered by the International DOI Foundation. Many of the world's leading publishers have come together to build a DOI-based document linking scheme known as CrossRef.

Fennich Hala MD, Bentahar Karima MD, El Haddaji Selsabille MD, Zarzur Jamila MD, Cherti Mohamed MD



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.