Oumeskour B, Roudaut R, Texier-Maugein J, Raynaud P, Dallocchio M
Service de Cardiologie, Hôpital Cardiologique du Haut Lévêque, Pessac.
Ann Cardiol Angeiol (Paris). 1990 Nov;39(9):507-11.
Endocarditis due to the streptococcus Bovis is an affection which is more and more often recognized and whose link with the colic tumor pathology has been well established those last few years and confirmed in this study with a frequency of 60 p. cent. However, few studies have stated the gravity of the heart affection in streptococcus Bovis septicaemias. In this series of 10 streptococcus Bovis septicaemias, the valvular affection is frequent and serious. The vegetations are found in 9 cases out of 10. The aortic affection is slightly more frequent (8 times out of 10), against 7 times out of 10 for the mitral affection (double mitroaortic affection, 6 times). A valve replacement due to sub-acute or chronic cardiac failure was necessary in 6 cases out of 9, that is 66 p. cent. The mortality was nil.
牛链球菌引起的心内膜炎是一种越来越常被认识到的病症，在过去几年中，它与结肠肿瘤病理之间的联系已得到充分证实，本研究中这一关联的出现频率为60%。然而，很少有研究阐述牛链球菌败血症中心脏病症的严重性。在这一系列10例牛链球菌败血症中，瓣膜病症很常见且严重。10例中有9例发现赘生物。主动脉受累稍更常见（10例中有8例），二尖瓣受累为10例中有7例（二尖瓣和主动脉瓣双受累6例）。9例中有6例（即66%）因亚急性或慢性心力衰竭而需要进行瓣膜置换。死亡率为零。
