title: Unusual association: Streptococcus bovis tricuspid endocarditis with atrial-septal aneurysm and patent foramen ovale.
abstract: Streptococcus bovis endocarditis is a frequent cause of streptococcal endocarditis and is associated with colonic tumours. The tricuspid valve is very rarely affected and its involvement is a complication which can lead to a less favourable outcome. We report the seventh case of tricuspid valve endocarditis due to S. bovis, and the first, to our knowledge, to be associated with an atrial-septal aneurysm and a patent foramen ovale. The underlying medical conditions and predisposing factors for development of tricuspid valve endocarditis are described and interesting new echocardiographic data are presented. The current guidelines on antibiotic therapy for S. bovis tricuspid valve endocarditis are reviewed.
authors.affiliation: Division of Infectious Diseases, University Hospital of Geneva.
authors.forename: R
authors.initials: R
authors.lastname: Sommer
authors.forename: P
authors.initials: P
authors.lastname: Dussoix
authors.forename: A
authors.initials: A
authors.lastname: Anwar
authors.forename: J
authors.initials: J
authors.lastname: Garbino
mesh_terms: D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000188:drug therapy; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006322:Heart Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging; D006325:Heart Atria; D006346:Heart Septum / Q000503:physiopathology; D006801:Humans; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000150:complications* / Q000188:drug therapy; D016985:Streptococcus bovis; D014261:Tricuspid Valve
chemical_list: D005839:Gentamicins; D010406:Penicillins