Subacute Bacterial Endocarditis Associated with Upper Endoscopy.
10.3349/ymj.2004.45.5.936
- Author:
Byoung Chul CHO
1
;
Jae Hyun LEE
;
Jung Won PARK
;
Chein Soo HONG
;
June Myung KIM
;
Seok Min KANG
;
Yong Soo KIM
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. cshong@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Endoscopy;
endocarditis;
bacteremia;
antibiotic prophylaxis
- MeSH:
Endocarditis, Subacute Bacterial/*etiology;
Endoscopy, Gastrointestinal/*adverse effects;
Female;
Humans;
Middle Aged;
Streptococcal Infections/*etiology;
Streptococcus intermedius/*isolation & purification
- From:Yonsei Medical Journal
2004;45(5):936-940
- CountryRepublic of Korea
- Language:English
-
Abstract:
Transient bacteremia associated with various endoscopic procedures is a well-documented phenomenon. Clinically important bacteremias are very rarely seen, however, this malady has significant morbidity in susceptible patients with valvular heart disease, liver cirrhosis, malignancy and immune deficiency. This bacteremia is a complication that is generally observed secondary to upper endoscopy and other associated invasive procedures in at risk patients, and the more serious manifestations include spontaneous bacterial peritonitis, septic arthritis, meningitis, brain abscess and infective endocarditis. Infective endocarditis is an extremely rare complication of gastrointestinal endoscopy, and it has been convincingly documented in only seven cases. We report a case of native valve endocarditis due to Streptococcus intermedius in a patient with valvular heart disease as a consequence of routine upper endoscopy.
