A case of infective endocarditis caused by Streptococcus agalactiae, in a patient with advanced gastric cancer.
- Author:
Tae Kyung LIM
1
;
Su Jin KIM
;
Joo Hee KIM
;
Chang Beom CHO
;
Yu Jin KIM
;
Kun Il KIM
;
Seung Soon LEE
Author Information
1. Department of Internal Medicine, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, Anyang, Korea. hushh93@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Streptococcus agalactiae;
Endocarditis, bacterial;
Stomach neoplasms
- MeSH:
Adult;
Aged;
Anti-Bacterial Agents;
Diabetes Mellitus;
Endocarditis;
Endocarditis, Bacterial;
Hand;
Heart Failure;
Humans;
Korea;
Liver Cirrhosis;
Peripartum Period;
Stomach Neoplasms;
Streptococcal Infections;
Streptococcus;
Streptococcus agalactiae;
Thoracic Surgery
- From:Korean Journal of Medicine
2009;77(Suppl 1):S209-S212
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The epidemiology of Group B streptococcal disease has been changing. Since the 1990s, early-onset neonatal and maternal peripartum infections have decreased, due to the administration of prophylactic intrapartum antibiotics. On the other hand, invasive Group B streptococcal infections have increased in nonpregnant adults, especially in elderly persons and in those with chronic immunosuppressive diseases, such as diabetes mellitus, liver cirrhosis, and malignancies. Although infective endocarditis is an uncommon manifestation of invasive Streptococcus agalactiae infection, it usually leads to cardiac surgery, due to heart failure associated with rapid valve destruction and the formation of emboli. Several cases of endocarditis due to S. agalactiae have appeared in the literature, but there have been few reports in Korea. We present a case of S. agalactiae infective endocarditis in an elderly patient with advanced gastric cancer, successfully treated with intravenous antibiotics and cardiac surgery.
