Letters Section Editor: Robert M. Golub, MD, Senior Editor.
To the Editor: The global emergence of infective endocarditis (IE) caused by Staphylococcus aureus was reported by Dr Fowler and colleagues.1 Among 1779 patients with IE enrolled between 2000 and 2003 from the United States, Brazil, Australia, New Zealand, Europe, and the Middle East, the most common causative pathogen was S aureus (558 cases, 31.4%). However, in Japan S aureus was still the second most common cause of IE (17.1%) after Streptococcus viridans (31.7%) found in a nationwide surveillance between 2000 and 2001.2 It would therefore be important to know if there was any variation in the prevalence of S aureus IE among the international regions in their study.
Chikamori T. Endocarditis From. JAMA. 2005;294(23):2972–2973. doi:10.1001/jama.294.23.2972-a