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Infective Endocarditis Caused By Streptococcus pluranimalium: A Case Report
Fahad S Alqahtani1, Hiba Al-Asadi2, Abdulaziz I Alsenani3
1Internal Medicine, Prince Sultan Military Medical City, Riyadh, SAU.
Abstract:
Infective endocarditis (IE) refers to an infection of the endocardium that can be caused by bacteria, viruses, or fungi. It can manifest either acutely or sub-acutely. Which can be complicated to stroke and congestive heart failure. We report a case of IE caused by Streptococcus (S.) pluranimalium. It is a rare organism that was discovered in 1999 in infections affecting domestic animals. It can cause serious complications, such as brain abscesses, and IE in both humans and animals. Our patient was diagnosed with IE caused by S. pluranimalium based on modified Duke's criteria. After the diagnosis was made, the patient started on intravenous antibiotics according to the blood cultures. Then, the patient significantly improved. We are reporting this case because only a few cases were documented for infective endocarditis caused by S. pluranimalium.
Insights
Infective endocarditis (IE) caused by the rare bacterium Streptococcus pluranimalium is uncommon. This case highlights successful treatment with antibiotics, emphasizing the importance of recognizing this pathogen in human infections.
Area of Science:
- Infectious Diseases
- Cardiology
- Microbiology
Background:
- Infective endocarditis (IE) is an endocardial infection with potential severe complications like stroke.
- IE can be caused by various pathogens, including bacteria, viruses, and fungi, presenting acutely or sub-acutely.
- Streptococcus (S.) pluranimalium, identified in 1999, is a rare organism known to cause infections in animals and occasionally humans.
Observation:
- A patient presented with symptoms suggestive of infective endocarditis.
- Diagnosis of IE was confirmed using the modified Duke's criteria.
- Blood cultures identified Streptococcus (S.) pluranimalium as the causative agent.
Findings:
- The patient was treated with intravenous antibiotics tailored to the blood culture results.
- The patient showed significant clinical improvement following antibiotic therapy.
- This case contributes to the limited documented evidence of IE caused by S. pluranimalium in humans.
Implications:
- Highlights the zoonotic potential of S. pluranimalium and its role in human infective endocarditis.
- Underscores the importance of considering rare pathogens in IE diagnosis and management.
- Suggests that prompt diagnosis and appropriate antibiotic treatment can lead to favorable outcomes for IE caused by S. pluranimalium.
Related Concept Videos
Endocarditis I: Introduction
Endocarditis II: Clinical Features of Infective Endocarditis
Endocarditis III: Medical Management
Endocarditis IV: Nursing Management
Myocarditis I: Introduction
Rheumatic Heart Disease I: Introduction

