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      Bacterial endocarditis at a small community hospital.

      The American Journal of the Medical Sciences
      Adult, Aged, Bacterial Infections, diagnosis, epidemiology, therapy, Cross Infection, Echocardiography, Endocarditis, Bacterial, Female, Gram-Negative Bacteria, isolation & purification, Haemophilus Infections, Hawaii, Heart Valve Prosthesis, Hospitals, Community, Humans, Incidence, Male, Micrococcus, Middle Aged, Prognosis, Staphylococcal Infections, Streptococcal Infections, Substance-Related Disorders, complications

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          Abstract

          Clinical features, microbiology, and predisposing factors are described in 56 patients with bacterial endocarditis (BE) treated over a 12-year period at a small community hospital in Hawaii. The average age of patients was 52.0 years. The mean duration of symptoms was 28.8 days (range 1 to 240 days). Streptococci was the most frequently identified causative organism, present in 61% of the cases. Gram-negative bacilli were isolated from six patients (11%). Fourteen patients (25%) required cardiac surgery; the most common condition leading to surgery was severe valvular insufficiency, followed by congestive heart failure and recurrent embolism. Eighty-two percent of the patients in the series survived. The leading causes of death were congestive heart failure and cerebrovascular accidents.

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