Streptococcus pneumoniae endocarditis on replacement aortic valve with panopthalmitis and pseudoabscess

Abstract

A 63-year-old woman with a previous episode of Streptococcus agalactiae endocarditis requiring a bioprosthetic aortic valve replacement presented with a short history of malaise, a right panopthalmitis with a Roth spot on funduscopy of the left eye and Streptococcus pneumoniae grown from vitreous and aqueous taps as well as blood cultures. She developed first degree heart block and her ECG was suggestive of an aortic root abscess. This gradually resolved over 6 weeks, during which she was treated with intravenous antibiotics. After careful consideration, it is likely that what was thought to be an aortic root abscess was instead an area of perivalvular inflammation.

Deri lezyonlu enfektif endokardit olgusu

“…Gelişmiş ülkelerde yıllık tahmini prevalansı 100.000 de 5 kişidir. Akut hastane mortalitesi %15 civarındadır [3]. Hızlı tanı, etkili tedavi ve komplikasyonların çabuk tanınması hasta sonucunun iyi olması açısından kaçınılmazdır [4].…”

Prosthetic valve endocarditis due to Streptococcus pneumoniae

“…Recent data have demonstrated a relative increase in the incidence of prosthetic valves as a predisposing factor for IE, from ±13% in the 1970s and 1980s to presently 22-31% (Fefer et al 2002 ). We describe three patients with pneumococcal endocarditis diagnosed since 1997, one of whom had prosthetic valve endocarditis (PVE) which is the focus of the current paper and review 16 similar patients, previously published (Killen et al 1970 , Bruyn et al 1990 , Ugolini et al 1986 , Aguado et al 1993 , Hanson et al 1993 , Cunningham and Sinha 1995 , Lefort et al 2000 , Collazos et al 1996 , Claes et al 2000 , O'Brien et al 2011 ).…”