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Updated: Sep 13, 2025

Visualization of Streptococcus pneumoniae within Cardiac Microlesions and Subsequent Cardiac Remodeling
Published on: April 7, 2015
Pneumococcal Endocarditis: Historical Insights and Modern Challenges
Dmytro Bohuslavskyi1, Mahesh Bhattarai1, Hussam Ammar1
1Florida State University College of Medicine Internal Medicine Residency Program at Tallahassee Memorial Hospital, 1300 Miccosukee Rd, Tallahassee, Fl 32308, USA.
None:
The patient in this case was a 72-year-old female who presented with altered mental status and was ultimately diagnosed with pneumococcal endocarditis. On physical examination, no abnormal cardiac murmurs were detected. This case highlights an important lesson: pneumococcal endocarditis, though rare, is a life-threatening condition with a high mortality rate and should be a top consideration in patients with S. pneumoniae bacteremia, even when the cardiac exam is relatively unremarkable.
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