The First Case of Streptococcus sinensis Endocarditis in Italy: Case Presentation and Systematic Literature Review

Almost 25 years have now passed since the first identification of ( ). It can cause infections both in immunocompetent and immunocompromised hosts. However, it has been rarely described as an aetiology of infectious endocarditis. We herein report the case of a 75-year-old Italian gentleman who was a...

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Bibliographic Details
Published in:Medicina (Kaunas, Lithuania) Lithuania), 2024-12, Vol.60 (12), p.1991
Main Authors: Mazzitelli, Maria, Sartori, Maria Teresa, Scaglione, Vincenzo, Lucente, Fabrizio, Gerosa, Gino, Leonardi, Andrea, Castagliuolo, Ignazio, Pergola, Valeria, Simioni, Paolo, Cattelan, Annamaria
Format: Article
Language:English
Subjects:
Abdomen
Aged
Anti-Bacterial Agents - therapeutic use
Antibiotics
Antimicrobial agents
Ceftriaxone - therapeutic use
Drug resistance in microorganisms
Embolization
emerging pathogen
Endocarditis
Endocarditis, Bacterial - diagnosis
Endocarditis, Bacterial - drug therapy
Epidemiology
Health aspects
Hemoglobin
Humans
Infection
Italy
Literature reviews
Male
Medical history
Review
Strategic planning (Business)
Streptococcal Infections - diagnosis
Streptococcal Infections - drug therapy
Streptococcus - isolation & purification
Streptococcus - pathogenicity
Streptococcus sinensis
Surgery
Systematic review
Tetracycline
Tetracyclines
Ultrasonic imaging
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Summary:Almost 25 years have now passed since the first identification of ( ). It can cause infections both in immunocompetent and immunocompromised hosts. However, it has been rarely described as an aetiology of infectious endocarditis. We herein report the case of a 75-year-old Italian gentleman who was admitted for shortness of breath, asthenia, weight loss, and an episode of loss of consciousness and who was subsequently diagnosed with endocarditis (the first reported in Italy). He was, therefore, treated with ceftriaxone for six weeks and underwent cardiac surgery. We performed a literature review on endocarditis cases and found 12 other reported cases. Demographics, clinical presentation, prognostic factors, treatment, and outcomes were summarized. Despite anecdotic cases being reported, endocarditis can occur and should be promptly and properly identified using accurate diagnostic methods. Continued research into its epidemiology, pathogenesis, antimicrobial resistance, and host interactions is essential for enhancing our knowledge and improving clinical management strategies.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina60121991