Right-heart infective endocarditis: apropos of 10 cases

  • Simon Antoine Sarr
  • Modou Jobe
  • Malick Bodian
  • Mbaye Sy
  • Mouhamadou Bamba Ndiaye
  • Adama Kane
  • Alassane Mbaye
  • Maboury Diao
  • Moustapha Sarr
  • Serigne Abdou Ba

Abstract

The prevalence and characteristics of right heart endocarditis in Africa are not well known. The aim of this study was to describe the epidemiological, clinical and laboratory profiles of patients with right-heart infective endocarditis. This was a 10-year retrospective study conducted in 2 cardiology departments in Dakar, Senegal. All patients who met the diagnosis of right heart infective endocarditis according to the Duke's criteria were included. We studied the epidemiological, clinical as well as their laboratory profiles. There were 10 cases of right-heart infective endocarditis representing 3.04% of cases of infective endocarditis. There was a valvulopathy in 3 patients, an atrial septal defect in 1 patient, parturiency in 2 patients and the presence of a pacemaker in one patient. Anaemia was present in 9 patients whilst leukocytosis in 6 patients. The port of entry was found to be oral in three cases, ENT in one case and urogenital in two cases. Apart from one patient with vegetations in the tricuspid and pulmonary valves, the rest had localized vegetation only at the tricuspid valve. However, blood culture was positive in only three patients. There was a favorable outcome after antibiotic treatment in 4 patients with others having complications; three cases of renal impairment, two cases of heart failure and one case of pulmonary embolism. There was one mortality. Right heart infective endocarditis is rare but associated with potentially fatal complications.

Pan African Medical Journal 2015; 22

Author Biographies

Simon Antoine Sarr
Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal
Modou Jobe
Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal; Medical Research Council The Gambia Unit, Fajara, The Gambia
Malick Bodian
Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal
Mbaye Sy
Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal
Mouhamadou Bamba Ndiaye
Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal
Adama Kane
Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal; Unité de Formation et de Recherche (UFR), Santé Université Gaston Berger, Saint Louis, Sénégal,
Alassane Mbaye
Service de Cardiologie, Hôpital Général de Grand Yoff, Dakar, Sénégal
Maboury Diao
Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal
Moustapha Sarr
Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal
Serigne Abdou Ba
Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal
Published
2016-08-15
Section
Articles

Journal Identifiers


eISSN: 1937-8688