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.

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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