Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report

European Heart Journal. Case Reports
Anne Margje Lisa Naomi van OmmenCornelia Adriana de Vries Feyens

Abstract

Infective endocarditis is a relatively common disease in a cardiologist's daily practice. Nowadays more detailed information about pathogens is provided to us by diagnostics such as MALDI Biotyper Massa Spectrometer. We present a case of endocarditis lenta in which Streptococcus sinensis was identified in the Netherlands for the first time. A 58-year-old man was admitted with high suspicion of endocarditis lenta complicated by severe kidney dysfunction and anaemia. He was treated with penicillin and gentamycin. Transthoracic echocardiogram revealed a large vegetation at the mitral valve and MALDI Biotyper Massa Spectrometer (Microflex) revealed S. sinensis as the pathogen. The patient refused to receive blood transfusions or surgery. Due to cerebral infarction with haemorrhagic transformation, the patient died 8 days after admission. Streptococcus sinensis was described in Hong Kong for the first time and is associated with endocarditis in rheumatic heart disease. To our knowledge, this is the first case reporting a fatal outcome of endocarditis due to this bacterium in the acute phase. In this case, late discovery, disease severity, and under treatment all contributed to the poor outcome. We want to share the knowledge on the ...Continue Reading

References

Mar 7, 2002·Journal of Clinical Microbiology·Patrick C Y WooKwok-Yung Yuen
Oct 22, 2004·Journal of Medical Microbiology·Patrick Cy WooKwok-Yung Yuen
Oct 24, 2007·Emerging Infectious Diseases·Ilker UçkayJacques Schrenzel
Mar 20, 2008·Journal of Medical Microbiology·Frédéric FaibisAnne Bouvet
Mar 31, 2009·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·P C Y WooK-Y Yuen
Dec 8, 2014·Médecine et maladies infectieuses·V SetaO Lambotte
Jun 13, 2018·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Julien GoretArmelle Ménard

❮ Previous
Next ❯

Citations

Nov 19, 2020·European Heart Journal. Case Reports·James S TomlinsonRachael James

❮ Previous
Next ❯

Software Mentioned

GroEL
MALDI biotyper

Related Concepts

Related Feeds

Anemia

Anemia develops when your blood lacks enough healthy red blood cells. Anemia of inflammation (AI, also called anemia of chronic disease) is a common, typically normocytic, normochromic anemia that is caused by an underlying inflammatory disease. Here is the latest research on anemia.

Related Papers

Médecine et maladies infectieuses
V SetaO Lambotte
Emerging Infectious Diseases
Ilker UçkayJacques Schrenzel
Sŭvremenna medit︠s︡ina
A MANCHEV
© 2021 Meta ULC. All rights reserved