title: Subacute bacterial endocarditis associated with upper endoscopy.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemun-gu, Seoul 120-752, Korea.
authors.forename: Byoung Chul
authors.initials: BC
authors.lastname: Cho
authors.forename: Jae Hyun
authors.initials: JH
authors.lastname: Lee
authors.forename: Jung Won
authors.initials: JW
authors.lastname: Park
authors.forename: Chein Soo
authors.initials: CS
authors.lastname: Hong
authors.forename: June Myung
authors.initials: JM
authors.lastname: Kim
authors.forename: Seok Min
authors.initials: SM
authors.lastname: Kang
authors.forename: Yong Soo
authors.initials: YS
authors.lastname: Kim
mesh_terms: 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*