title: Navel piercing as a cause for Streptococcus viridans endocarditis: case report, review of the literature and implications for antibiotic prophylaxis.
abstract: We describe a case of Streptococcus viridans endocarditis in a 17-year-old female with congenital ventricular septal defect, that followed shortly after performing naval piercing. She was eventually treated with penicillin with complete recovery. We review other cases from the literature of piercing-associated endocarditis, and suggest that individuals at particularly high risk might be considered for antibiotic prophylaxis prior to such procedures.
authors.affiliation: Department of Internal Medicine, Hadassah Medical Center, Jerusalem, Israel. barkand@mskcc.org
authors.forename: Daniel
authors.initials: D
authors.lastname: Barkan
authors.forename: Rami
authors.initials: R
authors.lastname: Abu Fanne
authors.forename: Anat
authors.initials: A
authors.lastname: Elazari-Scheiman
authors.forename: Shlomo
authors.initials: S
authors.lastname: Maayan
authors.forename: Ronen
authors.initials: R
authors.lastname: Beeri
mesh_terms: D000293:Adolescent; D019072:Antibiotic Prophylaxis; D046288:Body Piercing / Q000009:adverse effects*; D004698:Endocarditis, Subacute Bacterial / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000382:microbiology; D006801:Humans; D013290:Streptococcal Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology*; D034363:Viridans Streptococci / Q000302:isolation & purification*