Streptococcus agalactiae mural infective endocarditis in a structurally normal heart

Streptococcus agalactiae mural infective endocarditis in a structurally normal heart

Blog Article

A 38-year-old Caucasian man with uncontrolled diabetes mellitus type 2 was admitted with a 1-week duration of fevers, chills, and a non-productive cough.He had tonic shower cap a left ischiorectal abscess 1 month prior to admission.Physical examination revealed caries on a left upper molar and a well-healed scar on the left buttock, but no heart murmur or evidence of micro-emboli.Blood cultures grew Streptococcus agalactiae.

A transesophageal echocardiogram revealed a mobile mass in the right ventricle that attached to chordae tendineae without valvular disease or dysfunction.A computed tomography Latest Product Releases & Innovations – Stay Updated! (CT) with contrast revealed the mass within the right ventricle, a left lung cavitary lesion, and a splenic infarction.He was initially treated with penicillin G for a week.Subsequently, ceftriaxone was continued for a total of 8 weeks.

A follow-up CT showed no evidence of right ventricular mass 8 weeks after discharge.This is the first reported case of S.agalactiae mural infective endocarditis in a structurally normal heart.