Salmonella infective endocarditis

Wan Ling Cheng, Chia-Wen Li, Ming-Chi Li, Nan-Yao Lee, Ching Chi Lee, Wen-Chien Ko

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

Objective Salmonella endocarditis is so rarely reported that its clinical features, prognosis, and optimal treatment remain unclear. In this paper, we report a female with nontyphoid Salmonella endocarditis complicated with perivalvular abscess. We also review and summarize other cases reported in the English literature. Methods Using the key words “Salmonella”, “infective endocarditis”, and “mural endocarditis” to search the PubMed database, we reviewed case reports on Salmonella endocarditis published between 1976 and 2014 and case series of infective endocarditis that included at least 500 cases. Results Salmonella species were rare infective endocarditis pathogens. Among 16 large case series, they accounted for less than 0.01% and up to 2.9% of bacterial endocarditis cases. From 1976 to 2014, a total of 87 cases of typhoid and nontyphoid Salmonella endocarditis were reported, which included 42 cases in 1976–1984, 30 cases in 1986–2002, and 15 cases in 2003–2014. Men predominated among the cases (58.6%), and the mean age was approximately 50–60 years. The major affected valves were the mitral valves (33.3%). Mural endocarditis was common (26.4%). Perivalvular abscess was only reported in 10.5% (6 cases) of 57 cases. The overall mortality rate was 42.5% and decreased over time from 69.0% to 13.3% during the three study periods. Conclusion Salmonella endocarditis, although rare, may cause purulent infections in the perivalvular area or myocardium and lead to substantial mortality.

Original languageEnglish
Pages (from-to)313-320
Number of pages8
JournalJournal of Microbiology, Immunology and Infection
Volume49
Issue number3
DOIs
Publication statusPublished - 2016 Jun 1

Fingerprint

Endocarditis
Salmonella
Abscess
Literature
Bacterial Endocarditis
Mortality
Typhoid Fever
Mitral Valve
PubMed
Myocardium
Databases

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology and Microbiology(all)
  • Microbiology (medical)
  • Infectious Diseases

Cite this

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title = "Salmonella infective endocarditis",
abstract = "Objective Salmonella endocarditis is so rarely reported that its clinical features, prognosis, and optimal treatment remain unclear. In this paper, we report a female with nontyphoid Salmonella endocarditis complicated with perivalvular abscess. We also review and summarize other cases reported in the English literature. Methods Using the key words “Salmonella”, “infective endocarditis”, and “mural endocarditis” to search the PubMed database, we reviewed case reports on Salmonella endocarditis published between 1976 and 2014 and case series of infective endocarditis that included at least 500 cases. Results Salmonella species were rare infective endocarditis pathogens. Among 16 large case series, they accounted for less than 0.01{\%} and up to 2.9{\%} of bacterial endocarditis cases. From 1976 to 2014, a total of 87 cases of typhoid and nontyphoid Salmonella endocarditis were reported, which included 42 cases in 1976–1984, 30 cases in 1986–2002, and 15 cases in 2003–2014. Men predominated among the cases (58.6{\%}), and the mean age was approximately 50–60 years. The major affected valves were the mitral valves (33.3{\%}). Mural endocarditis was common (26.4{\%}). Perivalvular abscess was only reported in 10.5{\%} (6 cases) of 57 cases. The overall mortality rate was 42.5{\%} and decreased over time from 69.0{\%} to 13.3{\%} during the three study periods. Conclusion Salmonella endocarditis, although rare, may cause purulent infections in the perivalvular area or myocardium and lead to substantial mortality.",
author = "Cheng, {Wan Ling} and Chia-Wen Li and Ming-Chi Li and Nan-Yao Lee and Lee, {Ching Chi} and Wen-Chien Ko",
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Salmonella infective endocarditis. / Cheng, Wan Ling; Li, Chia-Wen; Li, Ming-Chi; Lee, Nan-Yao; Lee, Ching Chi; Ko, Wen-Chien.

In: Journal of Microbiology, Immunology and Infection, Vol. 49, No. 3, 01.06.2016, p. 313-320.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Salmonella infective endocarditis

AU - Cheng, Wan Ling

AU - Li, Chia-Wen

AU - Li, Ming-Chi

AU - Lee, Nan-Yao

AU - Lee, Ching Chi

AU - Ko, Wen-Chien

PY - 2016/6/1

Y1 - 2016/6/1

N2 - Objective Salmonella endocarditis is so rarely reported that its clinical features, prognosis, and optimal treatment remain unclear. In this paper, we report a female with nontyphoid Salmonella endocarditis complicated with perivalvular abscess. We also review and summarize other cases reported in the English literature. Methods Using the key words “Salmonella”, “infective endocarditis”, and “mural endocarditis” to search the PubMed database, we reviewed case reports on Salmonella endocarditis published between 1976 and 2014 and case series of infective endocarditis that included at least 500 cases. Results Salmonella species were rare infective endocarditis pathogens. Among 16 large case series, they accounted for less than 0.01% and up to 2.9% of bacterial endocarditis cases. From 1976 to 2014, a total of 87 cases of typhoid and nontyphoid Salmonella endocarditis were reported, which included 42 cases in 1976–1984, 30 cases in 1986–2002, and 15 cases in 2003–2014. Men predominated among the cases (58.6%), and the mean age was approximately 50–60 years. The major affected valves were the mitral valves (33.3%). Mural endocarditis was common (26.4%). Perivalvular abscess was only reported in 10.5% (6 cases) of 57 cases. The overall mortality rate was 42.5% and decreased over time from 69.0% to 13.3% during the three study periods. Conclusion Salmonella endocarditis, although rare, may cause purulent infections in the perivalvular area or myocardium and lead to substantial mortality.

AB - Objective Salmonella endocarditis is so rarely reported that its clinical features, prognosis, and optimal treatment remain unclear. In this paper, we report a female with nontyphoid Salmonella endocarditis complicated with perivalvular abscess. We also review and summarize other cases reported in the English literature. Methods Using the key words “Salmonella”, “infective endocarditis”, and “mural endocarditis” to search the PubMed database, we reviewed case reports on Salmonella endocarditis published between 1976 and 2014 and case series of infective endocarditis that included at least 500 cases. Results Salmonella species were rare infective endocarditis pathogens. Among 16 large case series, they accounted for less than 0.01% and up to 2.9% of bacterial endocarditis cases. From 1976 to 2014, a total of 87 cases of typhoid and nontyphoid Salmonella endocarditis were reported, which included 42 cases in 1976–1984, 30 cases in 1986–2002, and 15 cases in 2003–2014. Men predominated among the cases (58.6%), and the mean age was approximately 50–60 years. The major affected valves were the mitral valves (33.3%). Mural endocarditis was common (26.4%). Perivalvular abscess was only reported in 10.5% (6 cases) of 57 cases. The overall mortality rate was 42.5% and decreased over time from 69.0% to 13.3% during the three study periods. Conclusion Salmonella endocarditis, although rare, may cause purulent infections in the perivalvular area or myocardium and lead to substantial mortality.

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