Right-sided infective endocarditis: Clinical profile and prognosis

Background Right-sided infective endocarditis (RSIE) represents 5–10% of all cases of infective endocarditis (IE). Its optimal diagnosis, management and prognosis remain a challenge for cardiologist. Aim Our study aimed to determine clinical features and prognosis of RSIE. Methods From January 1998 to March 2015, we retrospectively reported all patients admitted for infective endocarditis in Cardiology B department. The modified Duke criteria were used for diagnosis. Clinical findings and prognosis of RSIE were compared to those of left-sided IE (LSIE). Results Among the 235 patients, 20 (8.5%) patients had RSIE including seven (35%) cases of IE on cardiac device. Mean age was 30 ± 19.5 years. Sixty-five percent was female. They had higher incidence of congenital heart disease (35% vs. 7.9%, P  Conclusion This study showed that RSIE is relatively rare and differs with regards to epidemiology, clinical characteristics and complications compared with LSIE.