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Meidani M et al, 2013: Aortic valve streptococcus group B endocarditis post-extracorporeal shock wave lithotripsy

Meidani M, Taghavi M, Abdar Esfahani M
Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran


Abstract

BACKGROUND: Sub-acute left-sided bacterial endocarditis is a serious condition that may present with variable clinical manifestations. Its symptoms include both sterile and infected emboli, and various immunological phenomena.

CASE REPORT: This report presents a 55 year old man with frequency and dysuria after a lithotripsy and several admissions with urosepsis. Due to the suspicion of infective endocarditis echocardiography was done which confirmed streptococcus group B endocarditis.

CONCLUSION: Streptococci group B is one of the rare causes of infective endocarditis, but it was observed after various producers such as lithotripsy.

ARYA Atheroscler. 2013 Sep;9(5):300-2.
PMID:24302939 [PubMed]
PMCID:PMC3845697

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Comments 1

Peter Alken on Wednesday, 20 November 2013 08:54

The patient had a urinary tract infection before SWL and was obviously not treated with antibiotics before and for four days after SWL despite persistent fever. It was probably not the SWL but the infection that caused the endocarditis.

Peter Alken

The patient had a urinary tract infection before SWL and was obviously not treated with antibiotics before and for four days after SWL despite persistent fever. It was probably not the SWL but the infection that caused the endocarditis. Peter Alken
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