Bacteremia is common in patients who are positive for human immunodeficiency virus
(HIV) due to numerous immunologic defects present in this disease. Although there
has been an impressive reduction in the incidence of bacteremia using highly active
antiretroviral therapy, it continues to be responsible for increased morbidity and
mortality.
1
,
2
Clinicians caring for bacteremic HIV-positive patients are frequently confronted
with the question of when to appropriately pursue the diagnosis of infective endocarditis.
Surprisingly, there are few published reports on the incidence, clinical characteristics,
and risk factors for infective endocarditis in patients with HIV. This study compares
the relative incidence of echocardiographically proved infective endocarditis in bacteremic
or fungemic HIV-positive versus HIV-negative patients.To read this article in full you will need to make a payment
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References
- Bacteremia in hospitalized patients infected with the human immunodefiency virus.J Acquired Immune Defic Syndr. 1995; 8: 51-57
- HIV-associated bacteremia.J Acquired Immune Defic Syndr. 2000; 23: 145-151
- Improved diagnostic value of echocardiography in patients with infective endocarditis by transoesophageal approach. A prospective study.Eur Heart J. 1988; 9: 43-53
- Enhanced morphological diagnosis in infective endocarditis by transoesophageal echocardiography.Br Heart J. 1990; 63: 109-113
- Ballantyne F III. Improved detection of infective endocarditis with transesophageal echocardiography.Am Heart J. 1992; 123: 774-781
- Diagnostic value of transesophageal compared with transthoracic echocardiography in infective endocarditis.J Am Coll Cardiol. 1991; 18: 391-397
- New criteria for diagnosis of infective endocarditis.Am J Med. 1994; 96: 200-209
- Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis.Clin Infect Dis. 2000; 30: 633-638
Article Info
Publication History
Accepted:
March 10,
2003
Received in revised form:
March 10,
2003
Received:
November 12,
2002
Identification
Copyright
© 2003 Excerpta Medica Inc. Published by Elsevier Inc. All rights reserved.
