| Autor: |
Chiorescu RM; Department of Internal Medicine, 'Iuliu Hațieganu' University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.; 1st Medical Clinic, Internal Medicine Department, Emergency Clinical County Hospital, 400006 Cluj-Napoca, Romania., Buksa SB; Emergency Clinical County Hospital, 400000 Cluj-Napoca, Romania., Botan A; Faculty of Medicine, 'Iuliu Hațieganu' University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania., Mocan M; Department of Internal Medicine, 'Iuliu Hațieganu' University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.; 1st Medical Clinic, Internal Medicine Department, Emergency Clinical County Hospital, 400006 Cluj-Napoca, Romania., Costache C; Emergency Clinical County Hospital, 400000 Cluj-Napoca, Romania.; Department of Microbiology, 'Iuliu Hațieganu' University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania., Toc DA; Emergency Clinical County Hospital, 400000 Cluj-Napoca, Romania.; Department of Microbiology, 'Iuliu Hațieganu' University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania. |
| Abstrakt: |
Streptococcus thoraltensis is a rare species, part of the viridans streptococcus group, found initially in rabbits and pigs, which can be vancomycin-resistant. We present the case of a 65-year-old patient, a smoker and chronic alcohol consumer with chronic obstructive pulmonary disease (COPD) and multiple dental foci who had been diagnosed with bacterial endocarditis caused by Streptococcus thoraltensis . The particular elements of the case consisted of an atypical clinical presentation with diarrheal stools, abdominal pain, concomitant damage to the aortic and tricuspid valves, the presence of large vegetations (>2 cm), and a vancomycin-resistant strain of Streptococcus thoraltensis . The evolution of the patient was unfavorable due to septic embolisms, respiratory failure requiring orotracheal intubation, and septic and cardiogenic shock. Infections with Streptococcus thoraltensis are challenging to treat because of the severity of the clinical form it causes and the pattern of antibiotic resistance in this germ. Based on our brief review, Streptococcus thoraltensis is an extremely rare human pathogen previously described as the etiologic agent of infectious endocarditis in only one case. |
