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Endocarditis caused by Streptococcus morbillorum.

H Coto, S L Berk

    The American Journal of the Medical Sciences
    |May 1, 1984
    PubMed
    Summary
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    Nutritionally variant streptococcal endocarditis is rare and poorly understood. This case highlights successful treatment with penicillin and rifampin for persistent bacteremia caused by Streptococcus morbillorum.

    Area of Science:

    • Infectious Diseases
    • Microbiology
    • Cardiology

    Background:

    • Nutritionally variant streptococci (NVS) are an uncommon cause of infective endocarditis.
    • The clinical presentation and optimal treatment strategies for NVS endocarditis remain poorly characterized.

    Observation:

    • This report details an unusual case of persistent bacteremia caused by Streptococcus morbillorum, a type of NVS.
    • The patient experienced two treatment failures before successful management.

    Findings:

    • Successful treatment was achieved using a combination of penicillin and rifampin.
    • A review of English literature since 1971 was conducted to analyze diagnostic and therapeutic challenges in NVS endocarditis.

    Implications:

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  • This case contributes to understanding the clinical spectrum of NVS endocarditis.
  • The findings suggest a potential treatment regimen for refractory NVS endocarditis, emphasizing the need for further research.