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Pneumococcal endocarditis of subacute evolution.

L Uemura1, N C Grassi, L Cazarin

  • 1Hospital Universitário Regional do Norte do Paraná, Universidade Estadual de Londrina, Londrina, PR, Brazil.

Arquivos Brasileiros De Cardiologia
|April 27, 2001
PubMed
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Streptococcus pneumoniae is rarely a cause of adult bacterial endocarditis. This case highlights a rare subacute presentation of pneumococcal endocarditis, differing from typical acute and severe forms.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Internal Medicine

Background:

  • Penicillin development has reduced Streptococcus pneumoniae as a cause of bacterial endocarditis in adults.
  • Pneumococcal endocarditis is typically acute, severe, and associated with high mortality.
  • Subacute pneumococcal endocarditis is infrequently reported in medical literature.

Observation:

  • A 58-year-old male presented with subacute bacterial endocarditis.
  • The causative agent was identified as Streptococcus pneumoniae.
  • The patient's clinical presentation and disease evolution were atypical for pneumococcal endocarditis.

Findings:

  • This case underscores the infrequent occurrence of Streptococcus pneumoniae as an endocarditis pathogen.
  • The subacute manifestation presented an atypical clinical course.

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  • The report discusses pathophysiology, clinical features, evolution, and treatment options.

    • Implications:

    • Highlights the importance of considering uncommon pathogens in endocarditis diagnosis.
    • Suggests that Streptococcus pneumoniae can present with atypical subacute manifestations.
    • Contributes to understanding the spectrum of pneumococcal endocarditis and its management.