Academic journal article Iranian Journal of Public Health

Infective Endocarditis among Intravenous Drug Users

Academic journal article Iranian Journal of Public Health

Infective Endocarditis among Intravenous Drug Users

Article excerpt

Background: Infective endocarditis is a common infection among intravenous drug users and can cause high mortality and morbidity.

Methods: In a retrospective study, we evaluated 33 intrave- nous drug users with documented infective endocarditis in two tertiary care hospitals in Tehran, Iran; Imam Hosein and Loghman Hakim hospitals during 6 years. Demographic in- formation, clinical manifestation, radiologic, laboratory and echocardiographic data were evaluated.

Results: Eighty two percent of patients were in 20-40 year old age group. The most common symptoms were fever, cough, dyspnea and lower extremities edema. The most common involved valve was tricuspid with frequency of 45%, followed by mitral, aortic and pulmonary valves. Ane- mia was observed in 95%, leukocytosis in55%, thrombocyto- penia in 35%, leukopnea in 10% and elevated ESR in 70% of patients. …

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