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- Title
Streptococcus agalactiae infective endocarditis with large vegetation in a patient with underlying protein S deficiency.
- Authors
Cheng, H.-l.; Lin, W.-c.; Shih, P.-y.; Huang, C.-h.; Hsu, Y.-c.; Yie, J.-c.; Chen, S.-y.; Lin, C.-p.
- Abstract
We present a case of a patient with underlying protein S deficiency who suffered from infective endocarditis with a large anterior mitral leaflet (AML) mass of approximately 4.5 cm in length. Intraoperative transesophageal echocardiography (TEE) revealed the mass at the AML base and a rupture of the posterior mitral leaflet chordae tendinae. The vegetation's large size may have been caused by one or more of three factors: location, underlying disease, and the microorganism causing infection. Patients with protein S deficiency are prone to thromboembolic events during cardiac surgery. Infective endocarditis caused by Streptococcus agalactiae usually has a poor prognosis, and, thus, early surgery is recommended.
- Subjects
STREPTOCOCCAL disease diagnosis; ANTI-infective agents; CHEST X rays; FUROSEMIDE; INFECTIVE endocarditis; MITRAL valve diseases; PHYSICAL diagnosis; PROTEIN deficiency; TRANSESOPHAGEAL echocardiography; DIAGNOSIS
- Publication
Infection, 2013, Vol 41, Issue 1, p247
- ISSN
0300-8126
- Publication type
Report
- DOI
10.1007/s15010-012-0334-6