Infectious endocarditis without intracardiac devices or underlying structural heart disease

Objective: To describe clinical, microbiological and echocardiographic aspects of endocarditis in a specific group of patients without intracardiac devices or underlying structural heart disease.Method: Retrospective study, clinical records and echocardiographic reports were reviewed during the period 1997 to 2020.Duke's modified criteria were applied.Statistical analysis: univariate expressed in frequencies, using measures of dispersion and central tendency.Results: 30,000 echocardiographic reports were reviewed, only 1350 had infectious endocarditis as a reason for sending, of which 248 cases were selected.The mean age was 48.1 ± 16.7 years.140 men (56%) and 108 women (44%).The most frequent echocardiographic sign was vegetation, in 278 (93.60%), and most common location was mitral (35.55%), with a higher number of cases in the right ventricle than expected.The most common systemic disease was kidney disease, in 135 (41.08%).A case of Streptococcus thoraltensis not previously reported in Mexico was identified.Conclusions: The presence of infectious endocarditis has increased due to invasive in-hospital and drug procedures.Due to their complexity, multidisciplinary teams are indispensable.