التفاصيل البيبلوغرافية
| العنوان: |
ENDOCARDITIS IN GREENLAND WITH SPECIAL REFERENCE TO ENDOCARDITIS CAUSED BY STREPTOCOCCUS PNEUMONIAE. |
| المؤلفون: |
Madsen, Rasmus Gaarde, Ladefoged, Karin, Kjærgaard, Jens Jørgen, Andersen, Peter Stemann, Clemmesen, Christopher |
| المصدر: |
International Journal of Circumpolar Health; 2009, Vol. 68 Issue 4, p347-353, 7p, 2 Charts |
| مصطلحات موضوعية: |
ENDOCARDITIS, STREPTOCOCCUS pneumoniae, ENDOCARDIUM diseases, PNEUMOCOCCAL vaccines |
| مصطلحات جغرافية: |
GREENLAND, ALASKA |
| مستخلص: |
Objectives. The aim of this retrospective study was to determine the incidence and outcome of infectious endocarditis in Greenland with an emphasis on pneumococcal endocarditis. Study design. Retrospective, non-interventional study. Methods. Review of files and medical history of all patients with infectious endocarditis from the Patient Registry in Greenland in the 11-year period 1995-2005. Results. There were 25 cases of endocarditis, giving an incidence rate of 4.0/100,000 per year. Twenty-four percent of these cases were caused by Streptoccous pneumonia, which is significantly more frequent than in studies on Caucasian populations, where pneumococcal infection was seen in 1-3% of endocarditis cases. The overall mortality rate was 12%. Pneumococcal endocarditis (PE) had the clinical characteristics of fulminant disease with frequent heart failure, complications and need for surgery. Among cases with PE, 67% needed acute valve replacement and the mortality rate was 33%. Conclusions. The high incidence rate, clinical characteristics and grave prognosis of PE are consistent with another study of an Inuit population in Alaska. [ABSTRACT FROM AUTHOR] |
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