Aortic and tricuspid endocarditis due to Streptococcus gallolyticus in an immunocompetent patient with a normal heart
| Autor: | Fernando Caeiro, MªHelena Pacheco, Jose Antonio Malhado, Sofia Lourenço, Alexandra Ramos |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Aortic valve
medicine.medical_specialty Streptococcus gallolyticus Colonoscopy Regurgitation (circulation) Article Internal medicine medicine Endocarditis Normal heart Tricuspid valve biology medicine.diagnostic_test business.industry Aortic Bivalvular Streptococcus bovis biology.organism_classification medicine.disease Surgery medicine.anatomical_structure Cardiology cardiovascular system Cardiology and Cardiovascular Medicine business Tricuspid |
| Popis: | SummaryEndocarditis due to Streptococcus gallolyticus, an agent previously included in the Streptococcus bovis denomination is a serious disease, often associated with lesions of the colon mucosa. Aortic valve is more often affected and tricuspid involvement is quite rare. We present a case of a 56-year-old man who was admitted with a 2-month history of fever. Echocardiogram revealed vegetations on the aortic and tricuspid valve and blood cultures grew S. gallolyticus. Thoracic X-ray and computed tomography were consistent with septic pulmonary embolism. Despite optimal antibiotic therapy he developed an ischemic stroke and acute aortic regurgitation, which led to emergent surgery. Colonoscopy found a benign adenoma which was excised, and the patient had a full recovery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|