A Rare Case of Group A Streptococcal Endocarditis with Absence of Valvular Vegetation

被引：9
|
作者：
Branch, Joel [1 ]
Suganami, Yu [1 ]
Kitagawa, Izumi [1 ]
Stein, Gerald H. [2 ]
Tanaka, Eri
机构：
[1] Shonan Kamakura Gen Hosp, Dept Gen Internal Med, Kamakura, Kanagawa, Japan
[2] Univ Florida, Dept Med, Gainesville, FL 32611 USA
来源：
INTERNAL MEDICINE | 2010年 / 49卷 / 15期
关键词：
Streptococcal; endocarditis; anticoagulation; glomerulonephritis; embolic; BETA-HEMOLYTIC STREPTOCOCCUS; INFECTIVE ENDOCARDITIS; GLOMERULONEPHRITIS; DIAGNOSIS;
D O I：
10.2169/internalmedicine.49.3711
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Group A streptococcal endocarditis has been described in intravenous drug misusers and as a post-varicella infection in children. We report a 64-year-old man with no prior risk factors who presented with a persistent fever, malaise, polyuria and cola-colored urine. On examination peripheral stigmata of endocarditis without a cardiac murmur and asymptomatic pharyngeal exudates were found. Blood and urine analysis revealed renal failure from suspected glomerulonephritis. Blood cultures revealed fully sensitive Group A streptococci. Transthoracic and transesophageal echocardiographies revealed no vegetation. The Modified Duke's Criteria aided in the diagnosis of definite infective endocarditis, despite the absence of valvular vegetation.
引用
收藏
页码：1657 / 1661
页数：5
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