Subacute bacterial endocarditis associated with upper endoscopy.
Transient bacteremia associated with various endoscopic procedures is a well-documented phenomenon. Clinically important bacteremias are very rarely seen, however, this malady has significant morbidity in susceptible patients with valvular heart disease, liver cirrhosis, malignancy and immune deficiency. This bacteremia is a complication that is generally observed secondary to upper endoscopy and other associated invasive procedures in at risk patients, and the more serious manifestations include spontaneous bacterial peritonitis, septic arthritis, meningitis, brain abscess and infective endocarditis. Infective endocarditis is an extremely rare complication of gastrointestinal endoscopy, and it has been convincingly documented in only seven cases. We report a case of native valve endocarditis due to Streptococcus intermedius in a patient with valvular heart disease as a consequence of routine upper endoscopy.
Cho
Byoung Chul
BC
Department of Internal Medicine, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea.
Lee
Jae Hyun
JH
Park
Jung Won
JW
Hong
Chein Soo
CS
Kim
June Myung
JM
Kang
Seok Min
SM
Kim
Yong Soo
YS
D004698:Endocarditis, Subacute Bacterial / Q000209:etiology*; D016099:Endoscopy, Gastrointestinal / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D013290:Streptococcal Infections / Q000209:etiology*; D034367:Streptococcus intermedius / Q000302:isolation & purification*