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Tricuspid Valve Endocarditis due to Streptococcus bovis in a Patient with Ventricular Septal Defect: A Rare Manifestation—Case Report and Review of the Literature

Streptococcus bovis endocarditis has 18%–62% association with colonic neoplasms with multivalvular involvement and affects mainly elderly males leading to severe cardiac dysfunction, septic embolization, and neurological complications. The aortic valve is the commonest valve to be affected followed...

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Published in:Case reports in infectious diseases 2017-01, Vol.2017 (2017), p.1-3
Main Authors: Shyamali, N. L. A., Siriwardana, J., Jayawardana, A., Mudiyanse, G., Pushpakumara, J., Indrakumar, J.
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Siriwardana, J.
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description Streptococcus bovis endocarditis has 18%–62% association with colonic neoplasms with multivalvular involvement and affects mainly elderly males leading to severe cardiac dysfunction, septic embolization, and neurological complications. The aortic valve is the commonest valve to be affected followed by aortic and mitral valves together. However, involvement of tricuspid valve is extremely rare. There are no reported cases of Streptococcus bovis endocarditis affecting the tricuspid valve in the presence of ventricular septal defect with left to right shunt. We report the case of a 25-year-old female with ventricular septal defect who was diagnosed to have tricuspid valve endocarditis caused by Streptococcus bovis. Her detailed colonoscopy, upper gastrointestinal endoscopy, liver biochemistry, and ultrasound scan of the abdomen were normal. She made a very good recovery with six weeks of intravenous antibiotics. This is the first case of tricuspid valve endocarditis caused by Streptococcus bovis in association with ventricular septal defect without any colonic lesions.
doi_str_mv 10.1155/2017/7152902
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L. A. ; Siriwardana, J. ; Jayawardana, A. ; Mudiyanse, G. ; Pushpakumara, J. ; Indrakumar, J.</creator><contributor>Di Carlo, Paola</contributor><creatorcontrib>Shyamali, N. L. A. ; Siriwardana, J. ; Jayawardana, A. ; Mudiyanse, G. ; Pushpakumara, J. ; Indrakumar, J. ; Di Carlo, Paola</creatorcontrib><description>Streptococcus bovis endocarditis has 18%–62% association with colonic neoplasms with multivalvular involvement and affects mainly elderly males leading to severe cardiac dysfunction, septic embolization, and neurological complications. The aortic valve is the commonest valve to be affected followed by aortic and mitral valves together. However, involvement of tricuspid valve is extremely rare. There are no reported cases of Streptococcus bovis endocarditis affecting the tricuspid valve in the presence of ventricular septal defect with left to right shunt. We report the case of a 25-year-old female with ventricular septal defect who was diagnosed to have tricuspid valve endocarditis caused by Streptococcus bovis. Her detailed colonoscopy, upper gastrointestinal endoscopy, liver biochemistry, and ultrasound scan of the abdomen were normal. She made a very good recovery with six weeks of intravenous antibiotics. 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source Wiley-Blackwell Open Access Collection; Publicly Available Content Database; PubMed
subjects Blood
Care and treatment
Case Report
Case reports
Case studies
Complications and side effects
Defects
Development and progression
Endocarditis
Endocarditis, Bacterial
Females
Heart
Infectious diseases
Literature reviews
Liver diseases
Patients
Streptococcal infections
Tumors
Ultrasonic imaging
title Tricuspid Valve Endocarditis due to Streptococcus bovis in a Patient with Ventricular Septal Defect: A Rare Manifestation—Case Report and Review of the Literature
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