Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-15T03:26:30.723Z Has data issue: false hasContentIssue false

Streptococcus gordonii-associated infective endocarditis in a girl with Barlow’s mitral valve disease

Part of: Infectious

Published online by Cambridge University Press:  08 July 2019

Roman R. Komorovsky
Affiliation:
Department of Internal Medicine No. 2, I.Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
Oksana R. Boyarchuk*
Affiliation:
Department of Children’s Diseases and Pediatric Surgery, I.Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
Vira O. Synytska
Affiliation:
Department of Children’s Diseases and Pediatric Surgery, I.Horbachevsky Ternopil National Medical University, Ternopil, Ukraine
*
Author for correspondence: O. Boyarchuk, Department of Children’s Diseases and Pediatric Surgery, I.Horbachevsky Ternopil National Medical University, 46001, 1, m.Voli, Ternopil, Ukraine. Tel: +38(0)686218248; Email: [email protected]

Abstract

We present a case of infective endocarditis caused by Streptococcus gordonii in an 11-year-old girl with Barlow’s mitral valve disease. The differential diagnosis of rheumatic carditis and infective endocarditis was difficult as the patient fulfilled the Jones criteria. Vegetation on the mitral valve which became evident later in course of the disease and positive blood culture allowed diagnosing “definite” infective endocarditis.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Day, MD, Gauvreau, K, Shulman, S, Newburger, JW. Characteristics of children hospitalized with infective endocarditis. Circulation 2009; 119: 865.CrossRefGoogle ScholarPubMed
Gupta, S, Sakhuja, A, McGrath, E, Asmar, B. Trends, microbiology, and outcomes of infective endocarditis in children during 2000–2010 in the United States. Congenit Heart Dis 2017; 12: 196.CrossRefGoogle ScholarPubMed
Boyarchuk, O, Komorovsky, R, Kovalchuk, T, Denefil, O. Socio-demographic and medical predictors of rheumatic heart disease in a low-risk population. Pediatria Polska Polish J Paediatr 2018; 93 (4): 325330.Google Scholar
Boyarchuk, O, Hariyan, T, Kovalchuk, T. Clinical features of rheumatic heart disease in children and adults in Western Ukraine. Bangladesh J Med Sci 2019; 18: 8793.CrossRefGoogle Scholar
Li, JS, Sexton, DJ, Mick, N, et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis. Clin Infect Dis 2000; 30: 633638.CrossRefGoogle Scholar
Baltimore, RS, Gewitz, M, Baddour, MR, et al. Infective endocarditis in childhood: 2015 update. A scientific statement from the American heart association. Circulation 2015; 132: 14871515.CrossRefGoogle ScholarPubMed
Anyanwu, AC, Adams, DH. Etiologic classification of degenerative mitral valve disease: Barlow’s disease and fibroelastic deficiency. Semin Thorac Cardiovasc Surg 2007; 19: 9096.CrossRefGoogle ScholarPubMed
Tomšič, A, Hiemstra, YL, Bissessar, DD, et al. Mitral valve repair in Barlow’s disease with bileaflet prolapse: the effect of annular stabilization on functional mitral valve leaflet prolapse. Interact Cardiovasc Thorac Surg 2018; 26: 559565.CrossRefGoogle ScholarPubMed
Doern, CD, Burnham, CA. It’s not easy being green: the viridans group streptococci, with a focus on pediatric clinical manifestations. J Clin Microbiol 2010; 48: 38293835.10.1128/JCM.01563-10CrossRefGoogle Scholar
Plummer, C, Douglas, C. Relationship between the ability of oral streptococci to interact with platelet glycoprotein Ib-alpha and with the salivary low-molecular-weight mucin, MG2. Feder Eur Microbiol Soc 2006; 48: 390399.Google Scholar