Table 2

Modified Duke/ESC 2015 clinical criteria in patients with definite infective endocarditis by pathological criteria and those without histology available

Clinical criteriaAll patients n=80 (%)Definite by pathological criteria n=45No histology available n=35
All patients n=45 (%)Definite IE n=26 (%)Possible IE n=19 (%)Definite IE
n=28 (%)
Possible IE n=7 (%)
No of major criteria present
 138 (47.5)25 (55.6)6 (23.1)19 (100)6 (21.4)7 (100)
 242 (52.5)20 (44.4)20 (76.9)022 (78.6)0
Category of major criteria present
 Imaging major criteria present79 (98.8)45 (100)26 (100)19 (100)27 (96.4)7 (100)
Echocardiography
 Vegetation74 (92.5)41 (91)26 (100)15 (78.9)26 (92.9)7 (100)
 Perforation32 (40)25 (55.6)14 (53.8)11 (57.9)4 (14.3)3 (42.9)
 Abscess13 (16.3)9 (20)4 (15.4)5 (26.3)3 (10.7)1 ((14.3)
 Dehiscence of a prosthetic valve5 (6.3)3 (6.7)2 (7.7)1 (5.3)1 (3.6)1 (14.3
18F-FDG PET/CT positive4 (5)4 (8.9)1/1 (3.8)3/4 (15.8)0/20/1
 Microbiological major criteria present42 (52.5)20 (44.4)20 (76.9)022 (78.6)0
No of minor criteria present:
 06 (7.5)5 (11.1)1 (3.8))4 (21.1)01 (14.3)
 19 (11.3)6 (13.3)4 (15.4)2 (10.5)2 (7.1)3 (42.9)
 235 (43.8)23 (51.1)10 (38.5)13 (68.4)9 (32.1)3 (42.9)
 322 (27.5)9 (20)9 (34.6)013 (46.4)0
 46 (7.5)2 (4.4)2 (7.7)04 (14.3)0
 5000000
Category of minor criteria present
 Predisposing endocardial abnormality or intravenous drug use42 (52.5)22 (55)16 (64)6 (40)18 (64.3)2 (33.3)
 Documented fever29 (36.3)14 (35)10 (40)4 (26.7)14 (50)1 (16.7)
 Vascular phenomena35 (43.8)14 (35)12 (48)2 (13.3)18 (64.3)3 (50)
 Immunological phenomena46 (57.5)24 (60)17 (68)7 (46.7)20 (71.4)2 (33.3)
 Microbiological evidence19 (23.8)13 (32.5)4 (16)9 (60)5 (17.9)1 (16.7)
  • Echocardiography—Transthoracic echocardiogram and Transoesophageal echocardiogram; 18FDG PET/CT- Cardiac CT with or without18FDG PET/CT.

  • ESC, European Society of Cardiology; 18FDG PET/CT, 18-fluorodeoxyglucose positron emission tomography; IE, infective endocarditis.