1 40 1 Text A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text. URL Address <a href="http://doi.org/10.1001/archinte.154.20.2330" target="_blank" rel="noreferrer noopener">http://doi.org/10.1001/archinte.154.20.2330</a> Rights Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s). Pages 2330-2335 Issue 20 Volume 154 Search for Full-text Locate full-text within NEOMED Library's e-journal collections <p>Users with a NEOMED Library login can search for full-text journal articles at the following url: <a href="https://libraryguides.neomed.edu/home">https://libraryguides.neomed.edu/home</a></p> Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource STAPHYLOCOCCUS-AUREUS ENDOCARDITIS AT A COMMUNITY TEACHING HOSPITAL, 1980 TO 1991 - AN ANALYSIS OF 106 CASES Publisher An entity responsible for making the resource available Archives of Internal Medicine Date A point or period of time associated with an event in the lifecycle of the resource 1994 1994-10 Subject The topic of the resource acquired infective endocarditis; bacteremia; bacterial-endocarditis; drug-users; experience; General & Internal Medicine; manifestations; neurologic complications; prognostic-factors; transesophageal echocardiography; vancomycin Creator An entity primarily responsible for making the resource Watanakunakorn C Description An account of the resource Background: The clinical diagnosis of infective endocarditis due to Staphylococcus aureus can be difficult, and many patients with this disease are only diagnosed post mortem. There are few published reports of large series of patients with S aureus endocarditis and none from a community hospital. I reviewed the clinical and laboratory findings of a large number of patients with S aureus endocarditis in a community hospital. Methods: I reviewed medical records identified through consultation records, International Classification of Diseases, Ninth Edition codes, and autopsy records of patients who fulfilled the criteria for the diagnosis of S aureus endocarditis during 1980 to 1991. Results: During the 12-year period, there were 106 cases, for a prevalence of 0.34 per 1000 admissions. Ninety-three (87.7%) of these patients were seen by me. The patients' ages ranged from 12 to 83 years (median, 61 years). Eighteen cases were nosocomial (15 were associated with intravascular catheters). Twenty-one patients were injecting drug users. Severe back pain was the chief complaint in nine patients. Twenty-seven patients had no heart murmur at the time of diagnosis. The overall mortality was 25.5%. Conclusions: Age 60 years or older, female gender, community-acquired infection, absence of heart murmur, presence of congestive heart failure, or central nervous system involvement was associated with higher mortality. Tricuspid valve endocarditis alone was associated with lower mortality. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1001/archinte.154.20.2330" target="_blank" rel="noreferrer noopener">10.1001/archinte.154.20.2330</a> Format The file format, physical medium, or dimensions of the resource Journal Article 1994 acquired infective endocarditis Archives of internal medicine bacteremia bacterial-endocarditis drug-users experience General & Internal Medicine Journal Article manifestations neurologic complications prognostic-factors transesophageal echocardiography vancomycin Watanakunakorn C