ISSN : 2146-3123
E-ISSN : 2146-3131

A Rare Cause of Endocarditis: Streptococcus pyogenes
Ayşegül Yeşilkaya 1, Özlem Kurt Azap 2, Hande Arslan 2, Bahar Pirat 3, Bahadır Gültekin 4
1Department of Infectious Diseases and Clinical Microbiology, Başkent University Faculty of Medicine, Ankara, Turkey
2Department of Infectious Diseases and Clinical Microbiology, Faculty of Medicine, Başkent University, Ankara, Turkey
3Department of Cardiology, Faculty of Medicine, Başkent University, Ankara, Turkey
4Department of Cardiovascular Surgery, Faculty of Medicine, Başkent University, Ankara, Turkey
DOI : 10.5152/balkanmedj.2012.053
Pages : 331-333

Abstract

Although group A β-hemolytic streptococcus is an uncommon cause of infective endocarditis, an increase in the incidence of invasive group A streptococcus infections  including bacteremia has been reported in the last two decades. Herein we report  Streptococcus pyogenes endocarditis in a previously healthy adult patient who was hospitalized to investigate the etiology of fever. Because of a suspicion of a new vegetation appeared in the second (aortic) valve in the 14th day of high dose penicillin G treatment, the mitral and aortic valves were replaced by mechanical prosthesis on the 22nd day of treatment. He was discharged from hospital after the 6 week course of antibiotic treatment.

Keywords : Group A β-hemolytic streptococcus, endocarditis
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