Clinical profile of @entity5967 XXXX .

@entity1 @entity883 @entity712 @entity5967 @entity146 @entity47 @entity340 @entity166 @entity884
BACKGROUND: @entity5967 is an unusual pathogen in adults who are not pregnant. @entity5967 @entity884 is a poorly defined entity because it is uncommon; in contrast to other @entity883 , it bears a high mortality rate. The aim of this study was to define its clinical, prognostic, and therapeutic profile on the basis of a series of 9 consecutive @entity1 . METHODS: We conducted a prospective and multicenter study of @entity1 with @entity166 in which 310 episodes were included. RESULTS: @entity5967 grew in 9 @entity1 (3%) who had no valve prosthesis. All @entity1 except 1 had underlying diseases, and all @entity1 had serious complications; the most common complications were major emboli, @entity712 , and shock. The valve affected was the mitral valve in 4 @entity1 , the aortic valve in 2 @entity1 , both the mitral and aortic valves in 2 @entity1 , and the tricuspid valve in 1 @entity1 . All episodes were on native valves. @entity47 tended to be large (maximal diameter >10 mm in all @entity1 ), very mobile, and pedunculated. An abscess was found in 2 @entity1 , and a perforation of the valve developed in 3 @entity1 . Five @entity1 died (mortality rate, 56%), 3 of whom had received antibiotic therapy alone. The 4 @entity1 who survived underwent combined medical-surgical therapy. CONCLUSION: @entity5967 @entity340 is @entity146 , and early surgery should be considered to prevent the destruction of valves and development of serious complications.
