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Experimental streptococcal endocarditis. The early vegetation.

J Carrizosa, K Kaye, W Kobasa

    Archives of Pathology & Laboratory Medicine
    |October 1, 1978
    PubMed
    Summary
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    This study shows that Streptococcus mitis bacteria colonize aortic valve vegetation internally, forming microcolonies and later large colonies within 24 hours. The vegetation surface, despite appearing smooth, is rough and irregular, facilitating bacterial adhesion and growth.

    Area of Science:

    • Cardiovascular Pathology
    • Microbiology
    • Electron Microscopy

    Background:

    • Aortic valve vegetation can lead to serious complications.
    • Understanding the interaction between bacteria and vegetation is crucial for treatment.

    Purpose of the Study:

    • To investigate the dynamic changes within aortic valve vegetation after Streptococcus mitis infection.
    • To characterize the surface morphology of vegetation using scanning electron microscopy.

    Main Methods:

    • Studied rabbit aortic valve vegetation before and after intravenous injection of Streptococcus mitis.
    • Utilized light and scanning electron microscopy to examine vegetation structure and bacterial colonization.

    Main Results:

    • Uninfected vegetation showed smooth edges but irregular surfaces with leukocytes.

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  • Following S. mitis injection, leukocytes infiltrated vegetation edges.
  • Bacteria were observed as microcolonies at 6 hours and large colonies at 24 hours, primarily within the vegetation.
  • Conclusions:

    • Streptococcus mitis preferentially colonizes the interior of aortic valve vegetation.
    • The irregular surface of vegetation aids bacterial adherence and colonization.
    • Early bacterial presence within vegetation is key to understanding infective endocarditis progression.