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Volume 20, Number 3—March 2014

Infective Endocarditis in Northeastern Thailand

George WattComments to Author , Orathai Pachirat, Henry C. Baggett, Susan A. Maloney, Viraphong Lulitanond, Didier Raoult, Saithip Bhengsri, Somsak Thamthitiwat, Anucha Paupairoj, Michael Kosoy, Nongrak Ud-Ai, Wichuda Sukwicha, Toni Whistler, and Pierre-Edouard Fournier
Author affiliations: Thailand Ministry of Public Health–US Centers for Disease Control and Prevention Collaboration, Nonthaburi, Thailand (G. Watt, H.C. Baggett, S.A. Maloney, S. Bhengsri, S. Thamthitiwat, W. Sukwicha, T. Whistler); Khon Kaen University Faculty of Medicine, Khon Kaen, Thailand (O. Pachirat, V. Lulitanond, A. Paupairoj, N. Ud-Ai); Aix Marseille Université, Marseille, France (D. Raoult, P.-E. Fournier); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (H.C. Baggett, S.A. Maloney, T. Whistler); Centers for Disease Control and Prevention, Fort Collins, Colorado, USA (M. Kosoy)

Main Article

Table 1

Characteristics of 132 patients with infective endocarditis, Khon Kaen, Thailand, January 2010–July 2012

Characteristic No. patients (%)*
Median age, y (range) 47 (16–85)
Male sex 91 (68.9)
Live in rural area 111 (84.1)
Poultry farmer 74 (56.1)
Livestock farmer 39 (29.6)
Rice farmer 59 (44.7)
Vegetable farmer 28 (21.2)
9 (6.8)
Animal contact
Own pets 92 (69.7)
Own livestock 46 (34.9)
Own poultry
89 (67.4)
Underlying cardiac pathologic changes
Identified underlying cardiac condition 96 (72.7)
Rheumatic heart disease 37 (28.0)
Mitral valve prolapse 19 (14.4)
Prosthetic heart valve 13 (9.9)
Congenital heart disease 11 (8.3)
Degenerative valve disease 9 (6.8)
Other cardiac conditions
4 (3.0)
Clinical findings
Type of heart valves involved
Native 120 (91.1)
Prosthetic 12 (9.9)
Heart valves involved overall, n = 132
Aortic 62 (47.0)
Mitral 52 (39.4)
Tricuspid 2 (0.2)
Aortic and mitral 10 (7.6)
Mitral and pulmonary 1 (0.01)
Aortic and tricuspid 1 (0.01)
Mitral and tricuspid 1 (0.01)
Aortic, mitral, and tricuspid 1 (0.01)
Heart valves involved in patients with underlying rheumatic heart disease, n = 37
Aortic 21 (56.8)
Mitral 10 (27.0)
Mitral and aortic 5 (13.5)
Mitral, aortic, and tricuspid 1 (2.7)
Days of fever before admission, median (range)
21 (0–270)
Patients receiving antibacterial drugs during week before admission 77 (58.3)
Mean ± SD maximum temperature during first 24 h after admission 38.3°C.± 0.9°C
Congestive heart failure at admission† 64 (48.5)

*Data indicate no. (%) patients with specified characteristic unless otherwise indicated.
†Diagnosis was made by a cardiologist.

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Page created: February 19, 2014
Page updated: February 19, 2014
Page reviewed: February 19, 2014
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.