Case Reports
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
K. Jayatilleke,
Sri Jayawardenapura General Hospital, LK
S. Chandrasiri,
Asiri Medical Hospital:181, Kirula road, Narahenpita, Colombo 5, LK
S. Pathirage,
Asiri Medical Hospital:181, Kirula road, Narahenpita, Colombo 5, LK
K. V. C. Janaka,
Sri Jayawardenapura General Hospital, LK
J. Herath,
Sri Jayawardenapura General Hospital, LK
N. Amarasena,
Sri Jayawardenapura General Hospital, LK
D. Wariyapola
Sri Jayawardenapura General Hospital, LK
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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