Table 5.
Clinical Characteristics of 5 Patients With Low Risk Score but Diagnosed With Infective Endocarditis
| Patient Number | Age (yr) | Sex | Day 5 Risk Score | Onset of SAB | Intracardiac Prosthesis | Duration of SAB (d) | Comments |
|---|---|---|---|---|---|---|---|
| 1 | 67 | M | 1 | Community onset, healthcare associated | None | 1 | TEE showed right atrial mass/thrombus; treated as possible infected thrombus with 42 d of intravenous antibiotics |
| 2 | 73 | M | 0 | Nosocomial | Prosthetic valve, recent mitral valve replacement | 2 | Acute prosthetic valve endocarditis; patient had skin manifestations of IE (prosthetic valve is included as high-risk category in our revised algorithm) |
| 3 | 88 | M | 1 | Community onset, healthcare associated | None | 2 | Recent hip surgery with acute septic arthritis and secondary bacteremia; TEE was positive for vegetation |
| 4 | 29 | F | 1 | Community onset, healthcare associated | Prosthetic valve; recent tricuspid valve replacement | 3 | Acute prosthetic valve endocarditis; patient had skin manifestations of IE |
| 5 | 61 | M | 1 | Community onset, healthcare associated | None | 1 | Chemotherapy-induced neutropenia; patient had SAB recurrence on day 49 of follow-up; TEE revealed possible vegetation on aortic valve |
Abbreviations: IE, infective endocarditis; SAB, Staphylococcus aureus bacteremia; TEE, transesophageal echocardiogram.