Value of diagnosing immunological phenomena in patients with suspected endocarditis.

ABSTRACT:

Purpose

Immunological phenomena are a minor criteria in the modified Duke Criteria for endocarditis. Given the changes in epidemiology and diagnostics, the added value of determining these phenomena in today's patients with suspected endocarditis is unknown.

Methods

In a retrospective cohort study of all patients with suspected endocarditis admitted to our hospital and discussed in our endocarditis team, we determined the proportion of patients classified as definite endocarditis because of either positive IgM rheumatoid factor (IgM RF), haematuria, or Roth's spots on ophthalmology consultation. We also determined diagnostic accuracy of each of these immunological phenomena separately and combined.

Results

Of 285 patients included, 138 (48%) had definite endocarditis

SUBMITTER: van der Vaart TW 

PROVIDER: S-EPMC10205820 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature