Streptococcus agalactiae infective endocarditis with large vegetation in a patient with underlying protein S deficiency

被引：5
|
作者：
Cheng, H. -L. [1 ]
Lin, W. -C. [2 ]
Shih, P. -Y. [1 ]
Huang, C. -H. [1 ]
Hsu, Y. -C. [3 ]
Yie, J. -C. [1 ]
Chen, S. -Y. [4 ]
Lin, C. -P. [1 ,5 ]
机构：
[1] Natl Taiwan Univ Hosp, Dept Anesthesiol, Taipei, Taiwan
[2] Natl Taiwan Univ Hosp, Dept Pathol, Taipei 100, Taiwan
[3] Natl Taiwan Univ Hosp, Dept Anesthesiol, Hsin Chu Branch, Hsinchu, Taiwan
[4] Penghu Hosp, Dept Anesthesiol, Penghu, Taiwan
[5] Natl Taiwan Univ Hosp, Dept Oncol, Taipei, Taiwan
来源：
INFECTION | 2013年 / 41卷 / 01期
关键词：
Streptococcus agalactiae; Infective endocarditis; Protein S deficiency; Vegetation; Mitral valve; Transesophageal echocardiography; CARDIAC INVOLVEMENT; C DEFICIENCY;
D O I：
10.1007/s15010-012-0334-6
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
We present a case of a patient with underlying protein S deficiency who suffered from infective endocarditis with a large anterior mitral leaflet (AML) mass of approximately 4.5 cm in length. Intraoperative transesophageal echocardiography (TEE) revealed the mass at the AML base and a rupture of the posterior mitral leaflet chordae tendinae. The vegetation's large size may have been caused by one or more of three factors: location, underlying disease, and the microorganism causing infection. Patients with protein S deficiency are prone to thromboembolic events during cardiac surgery. Infective endocarditis caused by Streptococcus agalactiae usually has a poor prognosis, and, thus, early surgery is recommended.
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页码：247 / 250
页数：4
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