Document Detail

Streptococcus pneumoniae endocarditis on replacement aortic valve with panopthalmitis and pseudoabscess.
MedLine Citation:
PMID:  22678733     Owner:  NLM     Status:  MEDLINE    
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.
Stephen O'Brien; Mark Dayer; James Benzimra; Susan Hardman; Mandie Townsend
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-08-19
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-08     Completed Date:  2013-05-24     Revised Date:  2013-08-25    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Care of the Elderly, Musgrove Park Hospital, Taunton, Somerset, UK.
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MeSH Terms
Abscess / diagnosis*,  microbiology*
Anti-Bacterial Agents / therapeutic use
Diagnosis, Differential
Endocarditis, Bacterial / diagnosis*,  microbiology*
Endophthalmitis / diagnosis*,  drug therapy,  microbiology*
Heart Valve Diseases / microbiology*,  surgery*
Heart Valve Prosthesis / microbiology*
Middle Aged
Streptococcal Infections / diagnosis*,  microbiology*,  surgery*
Streptococcus agalactiae / isolation & purification
Streptococcus pneumoniae / isolation & purification
Tomography, X-Ray Computed
Reg. No./Substance:
0/Anti-Bacterial Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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