Native valve endocarditis caused by streptococcus bovis following colonoscopy; [Kolonoskopi̇ sonrasi görülen streptococcus bovise baǧli doǧal kapak endokardi̇ti̇]
No Thumbnail Available
Date
2010
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
The strongest relationship focuses on Streptococcus bovis. All types of Streptococcus bovis infection have been related to the presence of a gastrointestinal neoplasia, which in most cases is colonic adenoma or carcinoma. We report the case of a patient who was diagnosed with villous adenoma of the colon and underwent aortic valve replacement because of a large vegetation on the aortic valve caused by Streptococcus Bovis endocarditis.48 years old male patient with a history of abdominal pain and weight loss for the last 1.5 months was diagnosed with villous adenoma. 1 week after his colonoscopy the patient presented to our clinic with tachycardia, fever, fatique, and swelling of the feet. In echocardiographic evaluation a 4.5x1.1 cm mobile mass filling the aortic lumen almost totally and reaching the mitral valve region and 3rd degree aortic regurgitation was found. The postoperative course was uneventful. After the first postoperative month the patient was transferred to general surgery clinic. Streptococcus Bovis endocarditis is normaly very uncommon. Since Streptococcus Bovis endocarditis is strongly associated with emboli, urgent operation should be planned and the vegetation should be removed.
Description
Keywords
gentamicin , vancomycin , abdominal pain , adult , aorta valve regurgitation , aorta valve replacement , article , bacterial endocarditis , cardiopulmonary bypass , case report , colonoscopy , echocardiography , fatigue , feet swelling , fever , human , male , operation duration , postoperative period , Streptococcus bovis , surgical technique , swelling , tachycardia , treatment response , villous adenoma , weight reduction