[Destructive endocarditis caused by Streptococcus sanguis on normal valves after gastroduodenoscopy].
In recent years, epidemiological and clinical patterns in infective endocarditis are changed: mean age of patients, sex, underlying cardiac diseases, source of bacteremia, availability of better diagnostic methods--specially two-dimensional and doppler echocardiography--and surgical options. The Authors report a paradigmatic case of a young man without cardiac disease, who developed a destructive endocarditis complicated by refractory congestive heart failure; the cause was an organism of low pathogenicity, Streptococcus sanguis, that entered the bloodstream after gastroduodenoscopy.
Pentimone
F
F
Istituto di Clinica Medica II, Università di Pisa.
Del Corso
L
L
Borelli
A
A
Riccioni
S
S
Salvatore
L
L
D000328:Adult; D004384:Duodenoscopy / Q000009:adverse effects*; D004697:Endocarditis, Bacterial / Q000209:etiology*; D005773:Gastroscopy / Q000009:adverse effects*; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D013290:Streptococcal Infections / Q000209:etiology*; D013298:Streptococcus sanguis
Endocardite destruente da Streptococcus sanguis su valvole sane dopo gastroduodenoscopia.