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A Fish Mouth Appearing Perforation of the Native Aortic Valve Due to Streptococcus infantarius subspecies coli
Maheedhar Gedela1, Shawn Kelly2,1, Shenjing Li2,1
1University of South Dakota Sanford School of Medicine.
Abstract:
Infective endocarditis due to Streptococcus infantarius with the subspecies (subsp.) coli is infrequently encountered in healthy humans. This entity is associated with hepatobiliary malignancies and colorectal neoplasia. Here, we report on a unique case of endocarditis associated with S. infantarius subsp. coli in an 80-year-old male with no known risk factors of the infective endocarditis.
Insights
Infective endocarditis caused by Streptococcus infantarius subspecies coli is rare in healthy individuals. This report details a unique case in an elderly male without typical risk factors, highlighting an unusual presentation of this infection.
Area of Science:
- Infectious Diseases
- Microbiology
- Cardiology
Background:
- Infective endocarditis (IE) is a serious infection of the heart's inner lining.
- Streptococcus infantarius subspecies coli (S. infantarius subsp. coli) is an uncommon cause of IE, typically linked to gastrointestinal or hepatobiliary issues.
- Known associations include hepatobiliary malignancies and colorectal neoplasia.
Observation:
- A unique case of IE caused by S. infantarius subsp. coli is presented.
- The patient was an 80-year-old male.
- The patient had no previously identified risk factors for infective endocarditis.
Findings:
- The study identifies a rare instance of S. infantarius subsp. coli causing infective endocarditis.
- This case occurred in an elderly patient lacking typical predisposing conditions for IE.
- The findings expand the clinical spectrum of S. infantarius subsp. coli infections.
Implications:
- This case underscores the importance of considering S. infantarius subsp. coli in endocarditis, even in patients without apparent risk factors.
- Further research may elucidate the specific mechanisms and risk factors associated with this rare pathogen in IE.
- Clinical awareness of this association is crucial for timely diagnosis and management of infective endocarditis.
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