title: Infective endocarditis caused by Streptococcus agalactiae in a native aortic valve, complicated by meningitis and cerebral embolism.
abstract: We present a case of infective endocarditis associated with community-acquired Streptococcus agalactiae in an immune competent patient. The endocarditis affected the native aortic valve with perforation of the coronary cusp and was complicated by a cerebral embolism. The use of intravenous ampicillin produced a satisfactory clinical and echocardiographic recovery despite not receiving a valve replacement. In addition to reporting an extremely rare case, this paper confirms that the opportune identification of endocarditis caused by S. agalactiae and the selection of appropriate antibiotics can prevent the necessity of cardiac surgery, usually required in such cases.
authors.affiliation: Hospital Regional Universitario, Secretary of Health of the State of Colima, Mexico.
authors.forename: Francisco
authors.initials: F
authors.lastname: Espinoza-Gomez
authors.forename: Oscar
authors.initials: O
authors.lastname: Newton-Sanchez
authors.forename: Aurora
authors.initials: A
authors.lastname: Gomez-Leyva
authors.forename: Fabian
authors.initials: F
authors.lastname: Rojas-Larios
authors.forename: Ivan
authors.initials: I
authors.lastname: Delgado-Enciso
authors.forename: Valery
authors.initials: V
authors.lastname: Melnikov
authors.forename: Jennifer
authors.initials: J
authors.lastname: Unrau
mesh_terms: D000328:Adult; D000667:Ampicillin / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001021:Aortic Valve / Q000382:microbiology*; D017714:Community-Acquired Infections / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D004696:Endocarditis / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000209:etiology*; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D013292:Streptococcus agalactiae / Q000472:pathogenicity*
chemical_list: D000900:Anti-Bacterial Agents; D000667:Ampicillin