Streptococcus Bovis Endocarditis Post Colonic Polypectomy
| Autor: | Thomas J Kiernan, Wing Tung Chung, Ronan Cusack, John Joseph Coughlan, Napohn Chongprasertpon, Chun Ho Leung |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
lcsh:Medicine Multiple risk factors Colonic polypectomy 03 medical and health sciences Biopsy Internal Medicine medicine Endocarditis Mitral valve prolapse 030304 developmental biology 0303 health sciences medicine.diagnostic_test biology business.industry colonic polypectomy lcsh:R 0402 animal and dairy science Articles 04 agricultural and veterinary sciences medicine.disease Streptococcus bovis biology.organism_classification 040201 dairy & animal science Surgery Infective endocarditis Regurgitation (digestion) medicine.symptom business |
| Zdroj: | European Journal of Case Reports in Internal Medicine (2019) European Journal of Case Reports in Internal Medicine |
| Popis: | We describe a case of Streptococcus lutetiensis infective endocarditis occurring in a patient following colonic polypectomy. The patient had multiple risk factors for infective endocarditis including pre-existing mitral valve prolapse and regurgitation. Transoesophageal echocardiography revealed a friable mass on the posterior mitral valve leaflet, confirming the diagnosis. The patient was treated with intravenous antibiotics, successfully underwent mitral valve surgery and was discharged home for outpatient follow-up. This report details an uncommon case presentation, highlights areas for improvement in clinical practice, and summarises the current knowledge available in the literature regarding Streptococcus bovis infective endocarditis. LEARNING POINTS Infective endocarditis occurring in association with gastrointestinal endoscopy is rare. Clinical suspicion of infective endocarditis after colonic polypectomy or biopsy should be maintained, especially in those with risk factors for infective endocarditis. Antibiotic prophylaxis against infective endocarditis is not recommended for routine gastrointestinal endoscopic procedures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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