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Lethal infective endocarditis due to Streptococcus agalactiae in a man with a history of alcohol abuse: A case report

Myriam D'Angelo1, Ilaria Boretti1, Salvina Quattrocchi1

  • 1Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Centro Neurolesi "Bonino Pulejo", Messina.

Medicine
|December 22, 2019
PubMed

Insights

A rare case of recurrent infective endocarditis caused by Streptococcus agalactiae in a healthy man led to severe complications. This infection has high mortality, especially with neurological issues and heart failure.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Neurology

Background:

  • Infective endocarditis (IE) is an infection affecting the heart's inner lining, often involving heart valves.
  • Streptococcus agalactiae is an uncommon cause of IE, particularly in individuals without pre-existing heart conditions.

Observation:

  • A 53-year-old man with a history of alcohol abuse presented with fever, atrial fibrillation, and pulmonary infection.
  • The patient developed recurrent severe endocarditis with both ischemic and hemorrhagic neurological complications and heart failure.

Findings:

  • The case highlights the rarity of IE caused by Streptococcus agalactiae in an otherwise healthy individual.
  • Neurological complications, heart failure, and recurrent IE, especially with valve prosthesis, are associated with high mortality.

Implications:

  • This case underscores the critical need for prompt diagnosis and management of IE, even with unusual pathogens.
  • Early recognition and treatment are crucial for improving outcomes in patients with IE and associated neurological and cardiac complications.
Abstract

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