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      Staphylococcus aureus endocarditis. A review of 119 cases.

      Archives of internal medicine

      Adolescent, Adult, Age Factors, Aged, Child, Child, Preschool, Cross Infection, complications, diagnosis, mortality, Denmark, Diagnosis, Differential, Embolism, etiology, Endocarditis, Bacterial, Female, Heart Failure, Humans, Infant, Male, Middle Aged, Staphylococcal Infections

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          Abstract

          Staphylococcus aureus endocarditis cases in Denmark from 1976 to 1981 were reviewed. A total of 119 patients--61 female and 58 male, with a median age of 63 years (range, 1 month to 85 years)--fulfilled the diagnostic criteria. Community-acquired infections were most common (62%), but the frequency of hospital-acquired cases (38%) was greater than in earlier reports. The clinical picture was relatively nonspecific, and 32% of the patients had no heart murmurs initially. In 65 cases (55%), endocarditis was not suspected clinically, and the diagnosis was first obtained at autopsy. The mortality was 71% and correlated with age, hospital-acquired infection, and the presence of heart failure and arterial embolism.

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          3718098

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