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Group B streptococcal infective endocarditis in a young non-pregnant female with rheumatic heart disease - A Case Report

Authors:

M. Alles ,

Sri Jayawardenapura General Hospital, LK
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K. Jayatilleke,

Sri Jayawardenapura General Hospital, LK
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S. Chandrasiri,

Asiri Medical Hospital:181, Kirula road, Narahenpita, Colombo 5, LK
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S. Pathirage,

Asiri Medical Hospital:181, Kirula road, Narahenpita, Colombo 5, LK
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K. V. C. Janaka,

Sri Jayawardenapura General Hospital, LK
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J. Herath,

Sri Jayawardenapura General Hospital, LK
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N. Amarasena,

Sri Jayawardenapura General Hospital, LK
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D. Wariyapola

Sri Jayawardenapura General Hospital, LK
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Abstract

Group B Streptococcus (GBS) is a rare cause of infective endocarditis in adults associated with a high mortality rate due to the frequent occurrence of local and systemic complications. Here we report a case of infective endocarditis (IE) in a young non-pregnant female with a history of rheumatic heart disease (RHD) who presented with a short history of fever, shortness of breath and constitutional symptoms. GBS was isolated from a single blood culture along with echocardiographic findings of a cardiac vegetation and ophthalmologic findings of a Roth spot. Based on the Modified Duke Criteria, a definitive diagnosis of infective endocarditis was made. She was treated with a prolonged course of intravenous (IV) ceftriaxone, with gentamicin being added to the regimen, following which she made a complete recovery.

How to Cite: Alles, M., Jayatilleke, K., Chandrasiri, S., Pathirage, S., Janaka, K.V.C., Herath, J., Amarasena, N. and Wariyapola, D., 2019. Group B streptococcal infective endocarditis in a young non-pregnant female with rheumatic heart disease - A Case Report. Sri Lankan Journal of Infectious Diseases, 9(2), pp.165–168. DOI: http://doi.org/10.4038/sljid.v9i2.8250
Published on 23 Oct 2019.
Peer Reviewed

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