Table 2.
Microbiological study | |
Coagulase-negative staphylococci | 6 (16%) |
Staphylococcus aureus | 12 (32%) |
MSSA | 10 (26%) |
MRSA | 2 (5%) |
Enterococcus Faecalis | 2 (5%) |
Viridians Streptococci | 7 (18%) |
HACEK group | 0 (0%) |
Others | 5 (13%)* |
Fungi | 0 (0%) |
Culture negative | 6 (16%) |
Echocardiographic study | |
Left ventricular ejection fraction, % | 64.2±9.2 |
Vegetation presentation | 31(82%) |
Size of vegetation, mm | 12.1±4.9 |
Size of vegetation >10 mm | 21 (55%) |
Adhesion sites of vegetation | |
Aortic valve | 11 (29%)† |
Mitral valve | 18 (47%) |
Tricuspid valve | 1 (3%) |
Left ventricular wall | 2 (5%) |
Pacemaker lead | 1 (3%) |
Abscess formation | 7 (18%) |
Perforation | 3 (8%) |
Dehiscence | 3 (8%) |
Fistula | 0 (0%) |
Number of times of TTE required to establish the diagnosis | 1.4±0.7 |
TEE performance | 28 (74%) |
*including one case with Streptococcus bovis, †including three bicuspid aortic valve cases.
MSSA: methicillin-sensitive Staphylococcus aureus, MRSA: methicillin-resistant Staphylococcus aureus, HACEK: Haemophilus species, Aggregatibacter species, Cardiobacteriumhominis, Eikenella corrodens and Kingella species, TTE: transthoracic echocardiography, TEE: transesophageal echocardiography