Streptococcus pneumoniae endocarditis on replacement aortic valve with panopthalmitis and pseudoabscess.
A 63-year-old woman with a previous episode of Streptococcus agalactiae endocarditis requiring a bioprosthetic aortic valve replacement presented with a short history of malaise, a right panopthalmitis with a Roth spot on funduscopy of the left eye and Streptococcus pneumoniae grown from vitreous and aqueous taps as well as blood cultures. She developed first degree heart block and her ECG was suggestive of an aortic root abscess. This gradually resolved over 6 weeks, during which she was treated with intravenous antibiotics. After careful consideration, it is likely that what was thought to be an aortic root abscess was instead an area of perivalvular inflammation.
Care of the Elderly, Musgrove Park Hospital, Taunton, Somerset, UK.
Stephen
S
O'Brien
Mark
M
Dayer
James
J
Benzimra
Susan
S
Hardman
Mandie
M
Townsend
D000038:Abscess / Q000175:diagnosis* / Q000382:microbiology*; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004562:Electrocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis* / Q000382:microbiology*; D009877:Endophthalmitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology*; D005260:Female; D006349:Heart Valve Diseases / Q000382:microbiology* / Q000601:surgery*; D006350:Heart Valve Prosthesis / Q000382:microbiology*; D006801:Humans; D008875:Middle Aged; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000382:microbiology* / Q000601:surgery*; D013292:Streptococcus agalactiae / Q000302:isolation & purification; D013296:Streptococcus pneumoniae / Q000302:isolation & purification; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents