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.

引用

页码：247 / 250

页数：4

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