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Streptococcus pyogenes meningitis and endocarditis in a patient with prosthetic mitral valve

Stephani C Wang1, Mikhail T Torosoff2, Raymond P Smith1

  • 1Department of Medicine, Albany Medical Center, Albany, NY, USA.

Journal of Cardiology Cases
|October 4, 2018
PubMed

Insights

Streptococcus pyogenes rarely causes meningitis and endocarditis. This case highlights a prosthetic valve endocarditis and meningitis caused by S. pyogenes, emphasizing prompt diagnosis for better outcomes.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Neurology

Background:

  • Streptococcus pyogenes typically causes cutaneous and pharyngeal infections.
  • Meningitis and endocarditis are rare complications of S. pyogenes infections.

Observation:

  • A 77-year-old male with a prosthetic mitral valve presented with concurrent meningitis and endocarditis.
  • The causative agent identified was Streptococcus pyogenes.

Findings:

  • This case demonstrates a rare presentation of S. pyogenes leading to severe invasive infections.
  • Prompt diagnosis of S. pyogenes meningitis and endocarditis is crucial for effective treatment.

Implications:

  • Clinicians should consider rare infectious etiologies, including S. pyogenes, in patients with endocarditis and meningitis.
  • Transesophageal echocardiography is vital for diagnosing endocarditis in high-risk patients, even with non-diagnostic initial transthoracic echocardiograms.
Keywords:
Mitral valveProsthetic valveStreptococcal pyogenesβ-Hemolytic streptococcus

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