Streptococcus bovis endocarditis: analysis of cases between 2005 and 2014

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dc.contributor.authorMello, Renato
dc.contributor.authorSantos, Marisa da Silva
dc.contributor.authorGolebiosvki, Wilma
dc.contributor.authorWeskler, Clara
dc.contributor.authorLamas, Cristiane
dc.date.accessioned2022-08-19T16:31:58Z
dc.date.available2022-08-19T16:31:58Z
dc.date.issued2015
dc.description.abstractBackground: Streptococcus bovis is a classical etiology of endocarditis and is associated withcolonic lesions. No series of cases from Brazil has been described.Objectives: To describe aspects of S. bovis endocarditis.Methods: This is a case series of patients admitted to a cardiac surgery referral center, dur-ing the years 2005–2014. Clinical, laboratory, echochardiographic, colonoscopic, treatment,surgical and outcome variables were studied.Results: Nine patients with S. bovis endocarditis were included; all cases fulfilled the modifiedDuke criteria. Incidence was 8/220 (4%) in years 2006–2014. There were seven male andtwo female patients; mean age was 56.7 years, standard deviation 13.4. All patients hadnative aortic valve involvement. Presentation was subacute in 7/9 (71%). Fever was presentin 7/9 (77.7%), embolic lesions to solid organs occurred in three, and perivalvular abscessin two patients. All echocardiograms showed moderate to severe valvular regurgitation andvegetations. Microcytic anemia was seen in 7/7 patients. Colonoscopy showed abnormalfindings in 7/9 (77.7%). Surgery was indicated for 6/9 patients due to acute aortic regurgitationand left ventricular failure. All patients were discharged home.Conclusions: S. bovis most frequently affected the aortic valve of male patients. Colon diseasewas frequent. Surgery was indicated frequently due to hemodynamic compromiseen
dc.identifier.citationMello R, Santos MS, Golebiosvki W, Weskler C, Lamas C. Streptococcus bovis endocarditis: analysis of cases between 2005 and 2014. Braz J Infect Dis. 2015; 19(2): 209-212.
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/117
dc.language.isoEnglishen
dc.publisherThe Brazilian Journal of Infectious Diseases
dc.subjectStreptococcus bovis endocarditisen
dc.subjectColon diseaseen
dc.subject.meshStreptococcus bovis / isolation & purificationen
dc.subject.meshStreptococcal Infections / microbiologyen
dc.subject.meshStreptococcal Infections / complicationsen
dc.subject.meshProspective Studiesen
dc.subject.meshMiddle Ageden
dc.subject.meshMaleen
dc.subject.meshHumansen
dc.subject.meshFemaleen
dc.subject.meshEndocarditis, Bacterial / microbiologyen
dc.subject.meshEndocarditis, Bacterial / complicationsen
dc.subject.meshColonoscopyen
dc.subject.meshColonic Diseases / microbiologyen
dc.subject.meshColonic Diseases / complicationsen
dc.subject.meshAgeden
dc.subject.meshAdulten
dc.titleStreptococcus bovis endocarditis: analysis of cases between 2005 and 2014
dc.typeArticleen
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