Erysipelothrix rhusiopathiae endocarditis in man is a very rare disease. The bacteria can be easily misiden- tified as nonpathogenic gram-positive bacilli or streptococci. This organism was isolated from blood samples taken from a 39-year-old male farmer with subacute bacterial endocarditis. The patient had cirrhosis of the liver; diabetes, and tuberculosis. The isolate showed typical cultural and biochemical characteristics such as facultative growth, formation of small greenish colonies on blood agar, positive hydrogen sulfide, negative catalase, and nonmotility. The isolate was susceptible to penicillin G and the cephalosporins.
Adult ; Endocarditis, Subacute Bacterial/diagnosis* ; Endocarditis, Subacute Bacterial/drug therapy ; Erysipeloid/diagnosis* ; Erysipeloid/drug therapy ; Human ; Male

Infectious complications are the leading causes of morbidity and mortality among kidney transplant recipients. Infective endocarditis has been reported as a rare complication in kidney transplant recipients and substantially impacts kidney transplant recipient survival. The early diagnosis of endocarditis is essential in order to initiate appropriate antibiotic treatment. In selected cases, surgery can be undertaken to prevent significant subsequent morbidity and mortality. We report a case of subacute bacterial endocarditis due to beta- hemolytic streptococcus in a 25-year-old kidney transplant recipient, which was successfully treated with antibiotics and valve annuloplasty.
Adult ; Anti-Bacterial Agents ; Early Diagnosis ; Endocarditis* ; Endocarditis, Subacute Bacterial ; Humans ; Kidney ; Kidney Transplantation ; Mortality ; Streptococcus ; Transplantation*

A 50-year-old female patient with visual disturbances was referred for further evaluation of a heart murmur. Fundoscopy revealed a Roth spot in both eyes. A physical examination showed peripheral signs of infective endocarditis, including Osler nodes, Janeway lesions, and splinter hemorrhages. Our preoperative diagnosis was subacute bacterial endocarditis with severe aortic regurgitation. The patient underwent aortic valve replacement and was treated with intravenous antibiotics for 6 weeks postoperatively. The patient made a remarkable recovery and was discharged without complications. We report this case of subacute endocarditis with all 4 classic peripheral signs in a patient who presented with visual disturbance.
Anti-Bacterial Agents ; Aortic Valve ; Aortic Valve Insufficiency ; Diagnosis ; Endocarditis ; Endocarditis, Subacute Bacterial* ; Female ; Heart Murmurs ; Hemorrhage ; Humans ; Middle Aged ; Physical Examination

Listerial endocarditis is rare disease with about 60 reported cases in the literatures. Although the clinical and laboratory features of listerial endocarditis are similar to those of subacute bacterial endocarditis caused by other pathogens, the incidence of complications and mortality rates are high. Early diagnosis, adequate treatment, and timely surgery are important for the better outcome. We report a case of a 62 year-old male with prosthetic valve endocarditis caused by Listeria monocytogenes, who was successfully treated with antibiotics and surgery (aortic valve and mitral valve re-replacement).
Anti-Bacterial Agents ; Early Diagnosis ; Endocarditis* ; Endocarditis, Subacute Bacterial ; Humans ; Incidence ; Listeria monocytogenes* ; Listeria* ; Male ; Middle Aged ; Mitral Valve ; Mortality ; Rare Diseases

Renal Infarction is a rare disease and in 90% of patients with renal infarction, underlying cardiac disease is presented. Most often this includes valvular heart disease, cardiac arrhythmias, rheumatic heart disease with fibrillation, or subacute bacterial endocarditis. The correct clinical diagnosis and appropriate treatment of renal infarction are often delayed. Three cases of renal infarction were presented with review of literature.
Arrhythmias, Cardiac ; Diagnosis ; Endocarditis, Subacute Bacterial ; Heart Diseases ; Heart Valve Diseases ; Humans ; Infarction* ; Rare Diseases ; Rheumatic Heart Disease

Total thirteen cases of subacute bacterial endocarditis were seen at the Department of Pediatrics, Seoul National University hospital from January 1971 to September 1978. Among them, twelve patients' medical records were analyzed for clinical data and particular attention was given on the usefulness of pulmonary perfusion scan in the diagnosis of pulmonary infarction, which is the one of the frequent and important complications of subacute bacterial endocarditis. The youngest patient was 2 years and 5 months old and the oldest patient was 15 years and 6 months old. Boys to girls ratio was 2:1. Congenital heart disease was noticed in 11 patients and there was no patient with rheumatic heart disease among cases observed. Blood cultures were positive in 7 cases. In three cases alpha hemolytic Streptococci were cultured and in another three coagulate positive Staphylococci and in one Pseudomonas were revealed Clinically- pulmonary infarction was suspected in 6 patients. Among them, pulmonary perfusion scan was performed in 3 patients, confirming pulmonary infarction in all.
Diagnosis* ; Endocarditis, Subacute Bacterial* ; Female ; Heart Defects, Congenital ; Humans ; Infant ; Medical Records ; Pediatrics ; Perfusion* ; Pseudomonas ; Pulmonary Infarction* ; Rheumatic Heart Disease ; Seoul

A 30-year-old man was transferred to Yonsei Cardiovascular Hospital after 20 days of hospitalization under the diagnosis of bacterial endocarditis with mitral regurgitation and septic splenic infarct. He had suffered from intermittent high fever and general weakness for 3 months. Echocardiogram showed moderate mitral regurgitation and multiple large vegetations in both leaflets. Streptococcus viridans was confirmed by blood cultures, and administration of cefazoline and gentamycin was initiated. During the antibiotic therapy, abdominal and left calf pain developed, and abdominal computed tomography showed splenic and right renal infarct. He also complained intermittent headache and visual distrubance. Brain computed tomography and four vessels angiography showed a small aneurysm in right hemisphere and other small aneurysm in fronto-occipital area of left middle cerebral artery. No more systemic embolization developed until the completion of six weeks of antibiotic therapy. The patient underwent mitral valve replacement with #29 Carpenitier-Edwards Bioprosthesis. At operation, the anterior and posterior mitral leaflets were found perforated and covered with leaflets were found perforated and covered with multiple vegetations. Follow-up cerebral angiography taken at seventh postoperative day, showed enlargement of cerebral aneurysm. Clipping of saccular aneurysms on left M3 and M4 were performed and complete resolution of aneurysm was confirmed by brain computed tomography. On operative finding, an aneurysm was found on with saccular type. The patient was dischanged without complication on eighth postoperative day.
Adult ; Aneurysm ; Aneurysm, Infected* ; Angiography ; Bioprosthesis ; Brain ; Cefazolin ; Cerebral Angiography ; Diagnosis ; Endocarditis, Bacterial ; Endocarditis, Subacute Bacterial* ; Fever ; Follow-Up Studies ; Gentamicins ; Headache ; Hospitalization ; Humans ; Intracranial Aneurysm ; Middle Cerebral Artery ; Mitral Valve ; Mitral Valve Insufficiency ; Viridans Streptococci