title: Streptococcus bovis endocarditis.
abstract: A case is described of bacterial endocarditis caused by Lancefield group D Streptococcus bovis. Because of its sensitivity to the less toxic antibiotics such as penicillin, the importance of laboratory differentiation from the more resistant enterococci is emphasized. Treatment in this case was complicated by penicillin allergy and cardiac failure. The condition finally responded to clindamycin therapy and aortic valve replacement.
mesh_terms: D001022:Aortic Valve Insufficiency / Q000209:etiology / Q000601:surgery; D002981:Clindamycin / Q000008:administration & dosage; D048909:Diabetes Complications; D004342:Drug Hypersensitivity / Q000209:etiology; D004697:Endocarditis, Bacterial / Q000150:complications / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D006333:Heart Failure / Q000209:etiology; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D010400:Penicillin G / Q000008:administration & dosage / Q000009:adverse effects; D013290:Streptococcal Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology; D013291:Streptococcus / Q000302:isolation & purification; D013444:Sulfisoxazole / Q000008:administration & dosage; D014640:Vancomycin / Q000008:administration & dosage
chemical_list: D002981:Clindamycin; D014640:Vancomycin; D013444:Sulfisoxazole; D010400:Penicillin G