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Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report

Anne Margje Lisa Naomi van Ommen1, Serena Slavenburg2, Rob Diepersloot1

  • 1Diakonessenhuis, Bosboomstraat 1, Postal Box 80250, 3508 TG Utrecht, the Netherlands.

European Heart Journal. Case Reports
|March 5, 2020
PubMed
Abstract

Insights

This case report details the first identification of Streptococcus sinensis causing endocarditis lenta in the Netherlands. The patient experienced a fatal outcome due to late diagnosis and disease severity.

Area of Science:

  • Infectious Diseases
  • Cardiology
  • Microbiology

Background:

  • Infective endocarditis is a significant clinical challenge.
  • Advanced diagnostics like MALDI Biotyper Massa Spectrometer enhance pathogen identification.
  • Streptococcus sinensis is an emerging pathogen in endocarditis.

Observation:

  • A 58-year-old male presented with endocarditis lenta, severe renal dysfunction, and anemia.
  • Echocardiography showed a large mitral valve vegetation.
  • MALDI Biotyper Massa Spectrometer identified Streptococcus sinensis.

Findings:

  • This is the first reported case of Streptococcus sinensis-induced endocarditis lenta in the Netherlands.
  • The patient experienced a fatal outcome despite antibiotic treatment.
  • Factors contributing to the poor outcome included late discovery, disease severity, and treatment limitations.

Implications:

  • Highlights the emergence of Streptococcus sinensis as a cause of infective endocarditis.
  • Underscores the importance of timely diagnosis and appropriate management of endocarditis.
  • Emphasizes the need for awareness of this pathogen in clinical practice.
Keywords:
Case reportEndocarditis lentaInfective endocarditisMedical microbiologyStreptococcus sinensis

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