title: Mitral and aortic valve endocarditis caused by a rare pathogen: Streptococcus constellatus.
abstract: Streptococcus constellatus endocarditis is associated with systemic embolism and frequently with a poor prognosis. We describe the first case reported in the literature of infective endocarditis by penicillin-resistant S. constellatus causing both mitral and aortic valve regurgitation, treated successfully with double-valve replacement.
authors.affiliation: Department of Adult Cardiac Surgery, G. Pasquinucci Heart Hospital, Fondazione CNR-G, Monasterio, Massa, Italy. gioconci@libero.it
authors.forename: Giovanni
authors.initials: G
authors.lastname: Concistrè
authors.forename: Francesca
authors.initials: F
authors.lastname: Chiaramonti
authors.forename: Antonio
authors.initials: A
authors.lastname: Miceli
authors.forename: Mattia
authors.initials: M
authors.lastname: Glauber
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D010403:Penicillin Resistance; D013290:Streptococcal Infections / Q000150:complications / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D034365:Streptococcus constellatus / Q000302:isolation & purification*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents