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Updated: Jun 23, 2025

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Published on: March 1, 2022
Infective Endocarditis After Endoscopic Stricture Dilation in Crohn's Disease
André Gonçalves1, Sandra Barbeiro1, Carina Leal1
1Department of Gastroenterology, Centro Hospitalar de Leiria, Leiria, Portugal.
Abstract:
Stricture formation is common in Crohn's disease, and endoscopic intervention plays an increasingly important role in managing these strictures. A 61-year-old man with biological aortic prosthesis and a 30-year history of ileocolonic stricturing Crohn's disease, managed with azathioprine and infliximab, presented with marked occlusive symptoms. Colonoscopy revealed a descending colon stricture, prompting endoscopic balloon dilation. At the time of the procedure, no prophylactic antibiotic was given. Subsequently, he developed Streptococcus gallolyticus endocarditis, necessitating aortic valve replacement. The authors present a case of late Streptococcus gallolyticus endocarditis associated with endoscopic balloon dilation of a Crohn-related colonic stricture.
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