A Rare Case of Group A Streptococcal Endocarditis with Absence of Valvular Vegetation

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概要

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• Group A streptococcal endocarditis has been described in intravenous drug misusers and as a post-varicella infection in children. We report a 64-year-old man with no prior risk factors who presented with a persistent fever, malaise, polyuria and cola-colored urine. On examination peripheral stigmata of endocarditis without a cardiac murmur and asymptomatic pharyngeal exudates were found. Blood and urine analysis revealed renal failure from suspected glomerulonephritis. Blood cultures revealed fully sensitive Group A streptococci. Transthoracic and transesophageal echocardiographies revealed no vegetation. The Modified Dukes Criteria aided in the diagnosis of definite infective endocarditis, despite the absence of valvular vegetation.

著者

• Kitagawa Izumi

  Department Of Cardiology Kanazawa Medical University

• Stein Gerald

  Department Of Medicine University Of Florida

• Tanaka Eri

  Head of Department, Haematology and Oncology, Shonan Kamakura General Hospital

• Branch Joel

  Department of General Internal Medicine, Shonan Kamakura General Hospital

• Suganami Yu

  Department of General Internal Medicine, Shonan Kamakura General Hospital

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