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Optimized Protocol for the Extraction of Proteins from the Human Mitral Valve
Published on: June 14, 2017
Mitral Valve Infective Endocarditis due to Streptococcus pyogenes: A Case Report
Cristina Sarda1, Giulia Magrini2, Sfefano Pelenghi3
1Infectious Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, ITA.
Abstract:
Infective endocarditis (IE) due to group A β-hemolytic streptococcus (Streptococcus pyogenes) has rarely been reported in the literature. We herein report a Streptococcus pyogenes native mitral valve endocarditis in a young patient and a review of the literature. The patient had a native mitral valve endocarditis with vegetation; his hemodynamic stability and a short course of antibiotic treatment prevented urgent surgery on the mitral valve. He was previously treated with cefixime and azithromycin for four days and then, upon hospital admission, with vancomycin plus amoxicillin-clavulanate. After the diagnosis of IE due to Streptococcus pyogenes, treatment with gentamicin (3 mg/kg daily) and ampicillin (12 g/day) was implemented. The patient underwent weekly echocardiographic evaluations during antibiotic treatment to document the resolution of the vegetations. He was discharged to home in good clinical conditions after a four-week course of antibiotic treatment.
Insights
Group A Streptococcus pyogenes infective endocarditis (IE) is rare. This case highlights successful antibiotic treatment of Streptococcus pyogenes native mitral valve endocarditis, avoiding surgery.
Area of Science:
- Cardiology
- Infectious Diseases
- Microbiology
Background:
- Infective endocarditis (IE) is a serious infection of the heart's inner lining.
- Group A beta-hemolytic streptococcus (Streptococcus pyogenes) is an uncommon cause of IE.
Observation:
- A young patient presented with native mitral valve endocarditis caused by Streptococcus pyogenes.
- The patient had a vegetation on the mitral valve but remained hemodynamically stable.
Findings:
- Initial treatments included cefixime, azithromycin, vancomycin, and amoxicillin-clavulanate.
- Subsequent targeted therapy with gentamicin and ampicillin led to vegetation resolution.
- Weekly echocardiography monitored treatment effectiveness.
Implications:
- This case demonstrates the feasibility of non-surgical management for Streptococcus pyogenes IE.
- Successful antibiotic regimens can be crucial for patients with IE.
- Further research into Streptococcus pyogenes IE treatment is warranted.
Related Concept Videos
Endocarditis II: Clinical Features of Infective Endocarditis
Mitral Valve Prolapse I: Introduction
Mitral Valve Prolapse II: Assessment and Management
Mitral Valve Prolapse III: Nursing Management
Endocarditis I: Introduction
Endocarditis III: Medical Management

