[Association of bacterial endocarditis and alcoholic cirrhosis in 9 patients].
Ten cases of bacterial endocarditis were observed in cirrhotic patients. In 7 cases, endocarditis was due to group D Streptococcus, 5 of which were Streptococcus D. bovis. Special features were the involvement of tricuspid valve and the involvement of two or more valves in 4 cases. Surgery was necessary in the acute phase in 5 patients: cure was definitely obtained in 8 cases after a particularly long interval. A colonic lesion could have been the portal of entry in some cases. Liver cirrhosis was considered as a predisposing factor for bacterial endocarditis, especially due to group D Streptococcus or to other bacteria of intestinal origin. This is probably related to the frequency of the colonic origin of group D Streptococcus endocarditis. Loss of filter function of the liver may partly explain the features of these forms of endocarditis.
D000328:Adult; D000368:Aged; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000209:etiology / Q000628:therapy; D013293:Enterococcus faecalis; D005260:Female; D006801:Humans; D008104:Liver Cirrhosis, Alcoholic / Q000150:complications* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D013290:Streptococcal Infections
Association d'une endocardite bactérienne et d'une cirrhose alcoolique chez neuf malades.