title: Right-heart infective endocarditis: a propos of 10 cases.
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.
authors.affiliation: Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Simon Antoine
authors.initials: SA
authors.lastname: Sarr
authors.affiliation: Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal; Medical Research Council The Gambia Unit, Fajara, The Gambia.
authors.forename: Modou
authors.initials: M
authors.lastname: Jobe
authors.affiliation: Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Malick
authors.initials: M
authors.lastname: Bodian
authors.affiliation: Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Mbaye
authors.initials: M
authors.lastname: Sy
authors.affiliation: Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Mouhamadou Bamba
authors.initials: MB
authors.lastname: Ndiaye
authors.affiliation: Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal; Unité de Formation et de Recherche (UFR), Santé Université Gaston Berger, Saint Louis, Sénégal.
authors.forename: Adama
authors.initials: A
authors.lastname: Kane
authors.affiliation: Service de Cardiologie, Hôpital Général de Grand Yoff, Dakar, Sénégal.
authors.forename: Alassane
authors.initials: A
authors.lastname: Mbaye
authors.affiliation: Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Maboury
authors.initials: M
authors.lastname: Diao
authors.affiliation: Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Moustapha
authors.initials: M
authors.lastname: Sarr
authors.affiliation: Service de Cardiologie, CHU Aristide Le Dantec, Dakar, Sénégal.
authors.forename: Serigne
authors.initials: S
authors.lastname: Abdou Ba
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002648:Child; D004697:Endocarditis, Bacterial / Q000150:complications / Q000188:drug therapy / Q000453:epidemiology*; D005260:Female; D006333:Heart Failure / Q000453:epidemiology / Q000209:etiology; D006349:Heart Valve Diseases / Q000453:epidemiology* / Q000382:microbiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000382:microbiology; D011655:Pulmonary Embolism / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D012675:Senegal / Q000453:epidemiology; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Dakar; infective endocarditis; right heart