Favorable outcome of infective endocarditis due to Streptococcus agalactiae after conservative treatment.
Infective endocarditis due to Streptococcus agalactiae is uncommon and carries an ominous prognosis, leading some authors to advocate early surgery. This report describes an 83-year-old woman with community-acquired infective endocarditis due to S. agalactiae. The patient, who had a history of surgery for colon cancer, presented with fever, agitation and general malaise. She achieved a favorable outcome with antibiotic treatment only. For infective endocarditis due to S. agalactiae, appropriate antimicrobial agents should be started as soon as possible, with surgery reserved for those cases of particular indication.
Chen
Shen-Ching
SC
Department of Medicine, Hsin-Chu Hospital, Department of Health, Hsinchu, Taiwan, ROC.
Lin
Ming-Feng
MF
D000368:Aged; D000369:Aged, 80 and over; D003110:Colonic Neoplasms / Q000150:complications; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004697:Endocarditis, Bacterial / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D005260:Female; D005839:Gentamicins / Q000627:therapeutic use; D006801:Humans; D010400:Penicillin G / Q000627:therapeutic use; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D013292:Streptococcus agalactiae / Q000302:isolation & purification
D005839:Gentamicins; D010400:Penicillin G