title: Does steroid exposure adversely affect the outcome of subacute bacterial endocarditis? Report of two cases.
abstract: Multivalvular endocarditis of native cardiac valves due to streptococci in patients without any predisposing conditions has not been reported previously. Moreover, the effect of exposure to systemic steroids on the outcome of subacute bacterial endocarditis (SBE) is not well known. We describe 2 patients with SBE involving 3 native cardiac valves, who were initially exposed to systemic steroid therapy under the clinical impression of 'rheumatologic disorders'.
authors.affiliation: Division of Infectious Diseases, Jersey Shore University Medical Center, Neptune, New Jersey, USA.
authors.forename: Nasir
authors.initials: N
authors.lastname: Ahmad
authors.forename: Melissa
authors.initials: M
authors.lastname: Anderson
authors.forename: Faheem
authors.initials: F
authors.lastname: Younus
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004698:Endocarditis, Subacute Bacterial / Q000175:diagnosis / Q000188:drug therapy* / Q000503:physiopathology; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D013256:Steroids / Q000009:adverse effects / Q000627:therapeutic use*; D013290:Streptococcal Infections / Q000188:drug therapy* / Q000503:physiopathology
chemical_list: D000900:Anti-Bacterial Agents; D013256:Steroids