title: [Destructive endocarditis caused by Streptococcus sanguis on normal valves after gastroduodenoscopy].
abstract: 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.
authors.affiliation: Istituto di Clinica Medica II, Università di Pisa.
authors.forename: F
authors.initials: F
authors.lastname: Pentimone
authors.forename: L
authors.initials: L
authors.lastname: Del Corso
authors.forename: A
authors.initials: A
authors.lastname: Borelli
authors.forename: S
authors.initials: S
authors.lastname: Riccioni
authors.forename: L
authors.initials: L
authors.lastname: Salvatore
mesh_terms: 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
vernacular_title: Endocardite destruente da Streptococcus sanguis su valvole sane dopo gastroduodenoscopia.