The Infective Endocarditis (2nd Edition)

A special issue of Microorganisms (ISSN 2076-2607). This special issue belongs to the section "Medical Microbiology".

Deadline for manuscript submissions: 31 December 2026 | Viewed by 680

Editors


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Guest Editor
1. Infectious Diseases Service, Hospital Clínic—IDIBAPS, University of Barcelona, Barcelona, Spain
2. CIBERINFEC Instituto de Salud Carlos III, Madrid, Spain
Interests: infective endocarditis
Special Issues, Collections and Topics in MDPI journals

E-Mail Website
Guest Editor
1. Infectious Diseases Service, Hospital Clínic—IDIBAPS, University of Barcelona, Barcelona, Spain
2. CIBERINFEC Instituto de Salud Carlos III, Madrid, Spain
Interests: infective endocarditis
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

This Special Issue is a continuation of our 2024 Special Issue “The Infective Endocarditis”. 

Cardiovascular infections remain life-threatening diseases with high morbidity and mortality, despite advances in diagnosis and management. The most severe form, infective endocarditis (IE), presents an ever-changing epidemiological scenario: there is a constant increase in the at-risk population due to the exponential growth of the elderly and comorbid population, patients with diverse intracardiac devices (prosthetic valves, cardiac implantable electronic devices, and TAVI), and, in some regions of the world, a dramatic increase in people who inject drugs (PWID). In addition, vascular graft infections and LVAD infections are increasing, and their management is certainly challenging. 

Therefore, improved prevention strategies both in the community and in hospitals are key to avoiding IE. Progress and improved diagnostic performance are expected with new molecular tools, as well as with the optimization of existing imaging techniques (echocardiography, PET-CT, cardiac CT) and the emergence of new modalities (PET-MRI, cardiac MRI). Staphylococcal and enterococcal etiologies will likely remain dominant in a scenario of increased nosocomial contact, although there are still points of uncertainty or potential for improvement in their therapeutic approaches. Antibiotic treatment regimens have changed now that a significant proportion of patients, after an initial IV induction, continue with the ambulatory consolidation phase through OPAT, long-acting or oral antibiotics—strategies whose efficacy and safety will be important to monitor in large prospective cohorts. Surgery, which continues to play an important role in the management of these infections, always needs refinement of its indications and timing. Finally, there is interest in the potential contributions of machine learning and AI to help us improve the management and outcomes of our patients. 

For this Special Issue, we invite you to submit contributions on infective endocarditis and cardiovascular infections, including basic studies on genetic susceptibility, infection mechanisms, translational research in experimental models of streptococcal, enterococcal and staphylococcal endocarditis, clinical studies on epidemiology of all the cardiovascular infections in specific populations such as elderly patients, people with CIED and prosthetic valves—TAVI, and PWID and, finally, novel medical and surgical treatment strategies for endocarditis, vascular graft and LVAD infections.

Prof. Dr. José María Miró
Dr. Guillermo Cuervo
Guest Editors

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Keywords

  • infective endocarditis (IE)
  • native valve endocarditis
  • TAVI endocarditis
  • prosthetic valve endocarditis
  • staphylococcal endocarditis
  • enterococcal endocarditis
  • molecular biology diagnosis
  • cardiac PET/CT diagnosis
  • vascular graft infections
  • LVAD infections
  • endocarditis in the elderly
  • endocarditis in PWID
  • oral antimicrobial treatment of IE
  • outpatient parenteral antibiotic therapy (OPAT) for IE
  • cardiac surgery of IE
  • cardiovascular infections
  • cardiac implantable electronic device (CIED)-IE
  • trial design of infective endocarditis
  • chronic antibiotic suppressive therapy for cardiovascular infections

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Published Papers (1 paper)

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25 pages, 958 KB  
Systematic Review
Clinical Features of Adult Patients with Isolated Pulmonary Valve Endocarditis: A Systematic Review
by Guillermo Cuervo, Supavit Chesdachai, Joya-Rita Hindy, Danielle Gerberi, Christopher V. DeSimone, Abhishek J. Deshmukh, José M. Miró, Abdallah El Sabbagh, Daniel C. DeSimone and Larry M. Baddour
Microorganisms 2026, 14(6), 1208; https://doi.org/10.3390/microorganisms14061208 - 27 May 2026
Viewed by 424
Abstract
Isolated pulmonary valve endocarditis (PV-IE) is a rare condition. Its epidemiology, clinical profile, and management remain poorly characterized. A systematic review was conducted to provide a contemporary characterization (2020–2025) of adult cases with isolated PV-IE. Individuals with previous cardiac surgeries, cardiac implantable electronic [...] Read more.
Isolated pulmonary valve endocarditis (PV-IE) is a rare condition. Its epidemiology, clinical profile, and management remain poorly characterized. A systematic review was conducted to provide a contemporary characterization (2020–2025) of adult cases with isolated PV-IE. Individuals with previous cardiac surgeries, cardiac implantable electronic devices (CIEDs), or long-term venous catheters were excluded. Of 1902 citations identified, 72 studies were selected with 79 eligible cases, mostly case reports. Patients were predominantly male (78.5%) with a median age of 43 years. Congenital heart disease (CHD) and injection drug use (IDU) were risk factors in 30.4% and 27.8% of cases, respectively, while 41.8% had neither (No-CHD/IDU group). Staphylococcus aureus was the leading pathogen (39%), followed by streptococci (16.5%) and Enterococcus faecalis (8.9%). Vegetations were large (median, 19.5 mm), and pulmonary septic emboli highly prevalent (~93% of cases). More than half (54.4%) of patients underwent surgery. Hospital mortality was low (7.6%). Differences across risk factor subgroups were observed, with higher median age in No-CHD/IDU patients and more staphylococcal etiology in patients with IDU, although treatment approaches and mortality did not differ. This review highlights distinct characteristics and the overall favorable short-term prognosis of isolated PV-IE, underscoring the need for larger, systematically collected datasets. Full article
(This article belongs to the Special Issue The Infective Endocarditis (2nd Edition))
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