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Human Streptococcus suis Endocarditis: Echocardiographic Features and Clinical Outcome
Orathai Pachirat1, Suthep Taksinachanekit, Piroon Mootsikapun
1Division of Cardiovascular Medicine.
Clinical Medicine Insights. Cardiology
|August 9, 2012
Summary
Human Streptococcus suis endocarditis, though rare, is a severe condition. Echocardiography reveals extensive valve damage and early embolization, necessitating prompt surgical intervention for good outcomes.
Area of Science:
- Cardiology
- Infectious Diseases
- Medical Imaging
Background:
- Human Streptococcus suis endocarditis is an infrequent but serious illness with high mortality.
- Echocardiographic features and clinical outcomes of Streptococcus suis endocarditis require further clarification.
Purpose of the Study:
- To describe the echocardiographic findings and clinical outcomes of patients with Streptococcus suis endocarditis.
Main Methods:
- A prospective study identified 114 patients.
- Echocardiography was routinely performed on all patients hospitalized at Queen Sirikit Heart Center and Srinagarind Hospital.
- Three cases of Streptococcus suis endocarditis were diagnosed between January 2010 and December 2011.
Main Results:
- All three diagnosed patients were male, aged 27-53 years, with undercooked pork consumption as the primary risk factor.
- Echocardiography showed large vegetations, severe valvular damage (aortic in two, mitral in one), congestive heart failure in three, and embolic events in two.
- All patients underwent urgent valve replacement, achieving good clinical outcomes.
Conclusions:
- Streptococcus suis endocarditis presents with destructive valvular damage and early embolization.
- The condition follows a fulminant course, underscoring the need for early surgical intervention.
- Prompt valve replacement surgery leads to favorable clinical outcomes in Streptococcus suis endocarditis.
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