infective endocarditis (IE) is a disease whose incidence has remained stable in recent years with high mortality despite advances made in the treatment. The aim of our retrospective study was to analyze the clinical profile, ultrasound, bacteriological, therapeutic of patients with IE who are hospitalized in the cardiology department of the University Hospital Ibn Rochd of Casablanca.

Sixty-two definite IE cases were enrolled in a prospective observational study between January 2012 and October 2015.

The average age of our patients was 38 years with a male predominance, the sex ratio was 1.29. 55 (88,7%) involved native valve, 7 patients, or 11,29% presented a prosthetic valve endocarditis, 6 or 9,6% patients showed endocarditis congenital heart disease,.The front door was identified in only 33.8% of cases with a predominance of dental and oral origin. Blood cultures were positive in 25.8% of patients insulating staphylococcus in 11.2%, streptococcus in 4.8%, bacillus and a fungus in 3.2% of cases, a morbillurum Gemella and a Gram-negative cocci in 1.6% for each of them. The transthoracic and / or transesophageal reveals a growing image in 77.4% of cases, cardiac abscess image in 8% cases, mutilation valvular in 9.6% of cases and one case of disinsertion of prosthesis was found among prosthesis wearers. Mitral location of IE was the most common, found in 41.9% of cases followed by the aortic valve in 27.4% of cases. Embolic and hemodynamic complications were observed respectively in 6.4% and 1.6%. The surgery has occurred in 33.8% of patients. Mortality during hospitalization was 9,6%.

infective endocarditis continues to pose a diagnostic and therapeutic problem. Its epidemiological profile is remarkably changed in recent years.In our context bacteriological diagnosis is difficult. The indication for surgery is common. The short-term prognosis remains dark with heavy-hospital mortality.

The author hereby declares no conflict of interest