XXXX associated with @entity884 . A review of 40 cases.

@entity1 @entity6331 @entity4002 @entity712 @entity5122 @entity16 @entity794 @entity616 @entity177 @entity2224 @entity583 @entity1002 @entity884
Thirty one (78%) of 40 consecutive @entity1 (aged 13-79, mean 44 years) with @entity884 had @entity712 at presentation. Twenty six (65%) had had @entity6331 and 17 (43%) @entity1 had prosthetic valves. Eight (20%) @entity1 had undergone dental procedures within three months of presentation. Blood cultures were positive in only 22 (55%) of the @entity1 . In nine (41%) of them streptococci of the viridans group were isolated and in seven (32%) @entity1 @entity884 was due to @entity794 . Eight @entity1 had @entity4002 . Sixteen @entity1 required operation because of @entity5122 while they were in hospital; 11 @entity1 had native valves and five had prosthetic valves. Seven had emergency operations and were pyrexial at that time. Four of the seven died in hospital. Of the 12 who were alive and well after surgery only two required further surgery two and three years after the initial operation. Twelve (30%) of the 40 @entity1 died in hospital; in 10 death was mainly due to @entity1002 or @entity712 . All @entity1 died who had @entity177 (four cases), @entity583 (two cases), complete @entity616 (one case), or @entity2224 (two cases) before operation. Six (33%) of the 18 @entity1 with @entity884 died. Two of the four @entity1 seen and treated more than 12 weeks after the onset of symptoms died, as did three of the five @entity1 with prosthetic valves who required surgery while in hospital. Three @entity1 with @entity16 survived and only two (29%) of the seven @entity1 with blood cultures that were positive for @entity794 died. Of these 40 high risk patients optimal antibiotic treatment and early surgery for haemodynamic difficulty ensured that 28 (70%) were discharged from hospital alive and well.
