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Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report

BACKGROUND: Infective endocarditis is a relatively common disease in a cardiologist’s daily practice. Nowadays more detailed information about pathogens is provided to us by diagnostics such as MALDI Biotyper Massa Spectrometer. We present a case of endocarditis lenta in which Streptococcus sinensis...

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Autores principales: van Ommen, Anne Margje Lisa Naomi, Slavenburg, Serena, Diepersloot, Rob, de Vries Feyens, Cornelia Adriana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047072/
https://www.ncbi.nlm.nih.gov/pubmed/32128503
http://dx.doi.org/10.1093/ehjcr/ytz237
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author van Ommen, Anne Margje Lisa Naomi
Slavenburg, Serena
Diepersloot, Rob
de Vries Feyens, Cornelia Adriana
author_facet van Ommen, Anne Margje Lisa Naomi
Slavenburg, Serena
Diepersloot, Rob
de Vries Feyens, Cornelia Adriana
author_sort van Ommen, Anne Margje Lisa Naomi
collection PubMed
description BACKGROUND: Infective endocarditis is a relatively common disease in a cardiologist’s daily practice. Nowadays more detailed information about pathogens is provided to us by diagnostics such as MALDI Biotyper Massa Spectrometer. We present a case of endocarditis lenta in which Streptococcus sinensis was identified in the Netherlands for the first time. CASE SUMMARY: A 58-year-old man was admitted with high suspicion of endocarditis lenta complicated by severe kidney dysfunction and anaemia. He was treated with penicillin and gentamycin. Transthoracic echocardiogram revealed a large vegetation at the mitral valve and MALDI Biotyper Massa Spectrometer (Microflex) revealed S. sinensis as the pathogen. The patient refused to receive blood transfusions or surgery. Due to cerebral infarction with haemorrhagic transformation, the patient died 8 days after admission. DISCUSSION: Streptococcus sinensis was described in Hong Kong for the first time and is associated with endocarditis in rheumatic heart disease. To our knowledge, this is the first case reporting a fatal outcome of endocarditis due to this bacterium in the acute phase. In this case, late discovery, disease severity, and under treatment all contributed to the poor outcome. We want to share the knowledge on the existence of this bacteria.
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spelling pubmed-70470722020-03-03 Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report van Ommen, Anne Margje Lisa Naomi Slavenburg, Serena Diepersloot, Rob de Vries Feyens, Cornelia Adriana Eur Heart J Case Rep Case Reports BACKGROUND: Infective endocarditis is a relatively common disease in a cardiologist’s daily practice. Nowadays more detailed information about pathogens is provided to us by diagnostics such as MALDI Biotyper Massa Spectrometer. We present a case of endocarditis lenta in which Streptococcus sinensis was identified in the Netherlands for the first time. CASE SUMMARY: A 58-year-old man was admitted with high suspicion of endocarditis lenta complicated by severe kidney dysfunction and anaemia. He was treated with penicillin and gentamycin. Transthoracic echocardiogram revealed a large vegetation at the mitral valve and MALDI Biotyper Massa Spectrometer (Microflex) revealed S. sinensis as the pathogen. The patient refused to receive blood transfusions or surgery. Due to cerebral infarction with haemorrhagic transformation, the patient died 8 days after admission. DISCUSSION: Streptococcus sinensis was described in Hong Kong for the first time and is associated with endocarditis in rheumatic heart disease. To our knowledge, this is the first case reporting a fatal outcome of endocarditis due to this bacterium in the acute phase. In this case, late discovery, disease severity, and under treatment all contributed to the poor outcome. We want to share the knowledge on the existence of this bacteria. Oxford University Press 2020-01-25 /pmc/articles/PMC7047072/ /pubmed/32128503 http://dx.doi.org/10.1093/ehjcr/ytz237 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
van Ommen, Anne Margje Lisa Naomi
Slavenburg, Serena
Diepersloot, Rob
de Vries Feyens, Cornelia Adriana
Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report
title Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report
title_full Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report
title_fullStr Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report
title_full_unstemmed Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report
title_short Fatal outcome of first case of Streptococcus sinensis in infective endocarditis in the Netherlands: a case report
title_sort fatal outcome of first case of streptococcus sinensis in infective endocarditis in the netherlands: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047072/
https://www.ncbi.nlm.nih.gov/pubmed/32128503
http://dx.doi.org/10.1093/ehjcr/ytz237
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