Recurrent Mitral Valve Endocarditis Caused by Streptococcus pneumoniae in a Splenectomized Host
A 72-year-old male with a remote history of splenectomy and two previous episodes of pneumococcal endocarditis of mitral valve presented with high-grade fever and confusion for 3 days. Nine months priorly, patient underwent mitral valve repair when he had the first episode of pneumococcal mitral val...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2013/929615 |
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| _version_ | 1832566915605725184 |
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| author | Shikha Shrestha JayaKrishna Chintanaboina Samir Pancholy |
| author_facet | Shikha Shrestha JayaKrishna Chintanaboina Samir Pancholy |
| author_sort | Shikha Shrestha |
| collection | DOAJ |
| description | A 72-year-old male with a remote history of splenectomy and two previous episodes of pneumococcal endocarditis of mitral valve presented with high-grade fever and confusion for 3 days. Nine months priorly, patient underwent mitral valve repair when he had the first episode of pneumococcal mitral valve endocarditis. He received pneumococcal vaccination two years ago. On examination during this admission, he was found to be febrile (104.3 F) and confused and had a grade 2/6 systolic murmur at the apex without any radiation. Laboratory data was significant for a white blood cell count of 22,000/mm3 (normal: 4000–11000/mm3). Blood cultures (4/4 bottles) grew penicillin-sensitive Streptococcus pneumoniae. Transesophageal echocardiogram revealed small vegetation on the posterior mitral leaflet without any evidence of abscess and severe mitral regurgitation. Patient clinically responded to intravenous ceftriaxone. However, due to recurrent pneumococcal mitral valve endocarditis and severe mitral regurgitation, the patient underwent mitral valve replacement. Patient had an uneventful recovery and was discharged home. Pneumococcal endocarditis itself is being uncommon in this current, penicillin, era; our case highlights the recurrent nature of pneumococcal endocarditis in a splenectomized host and the importance of pursuing aggressive treatment options in this clinical scenario. |
| format | Article |
| id | doaj-art-b583c245136d4738af3c7a3964675efb |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-b583c245136d4738af3c7a3964675efb2025-02-03T01:02:53ZengWileyCase Reports in Infectious Diseases2090-66252090-66332013-01-01201310.1155/2013/929615929615Recurrent Mitral Valve Endocarditis Caused by Streptococcus pneumoniae in a Splenectomized HostShikha Shrestha0JayaKrishna Chintanaboina1Samir Pancholy2Wright Center for Graduate Medical Education, 501 Madison Avenue, Scranton, PA 18510, USAWright Center for Graduate Medical Education, 501 Madison Avenue, Scranton, PA 18510, USAWright Center for Graduate Medical Education, 501 Madison Avenue, Scranton, PA 18510, USAA 72-year-old male with a remote history of splenectomy and two previous episodes of pneumococcal endocarditis of mitral valve presented with high-grade fever and confusion for 3 days. Nine months priorly, patient underwent mitral valve repair when he had the first episode of pneumococcal mitral valve endocarditis. He received pneumococcal vaccination two years ago. On examination during this admission, he was found to be febrile (104.3 F) and confused and had a grade 2/6 systolic murmur at the apex without any radiation. Laboratory data was significant for a white blood cell count of 22,000/mm3 (normal: 4000–11000/mm3). Blood cultures (4/4 bottles) grew penicillin-sensitive Streptococcus pneumoniae. Transesophageal echocardiogram revealed small vegetation on the posterior mitral leaflet without any evidence of abscess and severe mitral regurgitation. Patient clinically responded to intravenous ceftriaxone. However, due to recurrent pneumococcal mitral valve endocarditis and severe mitral regurgitation, the patient underwent mitral valve replacement. Patient had an uneventful recovery and was discharged home. Pneumococcal endocarditis itself is being uncommon in this current, penicillin, era; our case highlights the recurrent nature of pneumococcal endocarditis in a splenectomized host and the importance of pursuing aggressive treatment options in this clinical scenario.http://dx.doi.org/10.1155/2013/929615 |
| spellingShingle | Shikha Shrestha JayaKrishna Chintanaboina Samir Pancholy Recurrent Mitral Valve Endocarditis Caused by Streptococcus pneumoniae in a Splenectomized Host Case Reports in Infectious Diseases |
| title | Recurrent Mitral Valve Endocarditis Caused by Streptococcus pneumoniae in a Splenectomized Host |
| title_full | Recurrent Mitral Valve Endocarditis Caused by Streptococcus pneumoniae in a Splenectomized Host |
| title_fullStr | Recurrent Mitral Valve Endocarditis Caused by Streptococcus pneumoniae in a Splenectomized Host |
| title_full_unstemmed | Recurrent Mitral Valve Endocarditis Caused by Streptococcus pneumoniae in a Splenectomized Host |
| title_short | Recurrent Mitral Valve Endocarditis Caused by Streptococcus pneumoniae in a Splenectomized Host |
| title_sort | recurrent mitral valve endocarditis caused by streptococcus pneumoniae in a splenectomized host |
| url | http://dx.doi.org/10.1155/2013/929615 |
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