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Provedor de dados:  BJID
País:  Brazil
Título:  Spondylodiscitis and endocarditis caused by S. vestibularis
Autores:  Tufan,Muge Aydin
Hamide,Kart-Koseoglu
Duygu,Ersozlu-Bozkirli
Ozlem,Azap
Kadir,Tufan
Eftal,Yucel Ahmet
Data:  2010-08-01
Ano:  2010
Palavras-chave:  Endocarditis
Spondylodiscitis
Streptococcus vestibularis
Resumo:  Streptococcus vestibularis is a recently described member of the viridans group that was first isolated from the vestibular mucosa of the human oral cavity and described as a new species in 1988. It has been rarely associated with human infections. In few papers, it has been reported as a causal agent of systemic infection in immunosupressed adults and in those with other severe underlying diseases, like coronary valve diseases. A 65-year-old woman was admitted to the hospital with complaints of fever for three months, general malaise, effort dyspnea, weight loss, back pain and myalgia. Both native aortic valve endocarditis and spondylodiscitis due to Streptococcus vestibularis were detected. The patient was successfully treated with intravenous potassium penicillin G and gentamicin for six weeks, followed by oral amoxicillin for three months, in addition to aortic valve replacement. In all patients with spondylodiscitis, infective endocarditis should be considered, particularly in patients with heart valve disease history, since spondylodiscitis may be the presenting sign of an infective endocarditis. Cardiac valve replacement surgery should be performed if the course of fever and inflammatory syndrome is unfavorable after appropriate antibiotic treatment. We report the first case with both native aortic valve endocarditis and spondylodiscitis due to Streptococcus vestibularis.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000400012
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702010000400012
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.14 n.4 2010
Direitos:  info:eu-repo/semantics/openAccess
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