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BMJ Case Rep. 2011 Aug 19;2011. pii: bcr0620114304. doi: 10.1136/bcr.06.2011.4304.

Streptococcus pneumoniae endocarditis on replacement aortic valve with panopthalmitis and pseudoabscess.

Author information

1
Care of the Elderly, Musgrove Park Hospital, Taunton, Somerset, UK.

Abstract

A 63-year-old woman with a previous episode of Streptococcus agalactiae endocarditis requiring a bioprosthetic aortic valve replacement presented with a short history of malaise, a right panopthalmitis with a Roth spot on funduscopy of the left eye and Streptococcus pneumoniae grown from vitreous and aqueous taps as well as blood cultures. She developed first degree heart block and her ECG was suggestive of an aortic root abscess. This gradually resolved over 6 weeks, during which she was treated with intravenous antibiotics. After careful consideration, it is likely that what was thought to be an aortic root abscess was instead an area of perivalvular inflammation.

PMID:
22678733
PMCID:
PMC3171023
DOI:
10.1136/bcr.06.2011.4304
[Indexed for MEDLINE]
Free PMC Article

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