Infective Endocarditis Caused by Group G Streptococcus with Multiple Cerebral Emboli

Erdem, Ilknur; Goktas, Pasa; Demirtunc, Refik; Erdem, Aysun

doi:10.14712/18059694.2019.20

Acta Medica > Archive > 2003, Vol. 46 > Issue 3 > Infective Endocarditis Caused by Group G…

Acta Med. 2003, 46: 125-127

https://doi.org/10.14712/18059694.2019.20

Infective Endocarditis Caused by Group G Streptococcus with Multiple Cerebral Emboli

Ilknur Erdem^a, Pasa Goktas^a, Refik Demirtunc^b, Aysun Erdem^c

^aHaydarpasa Numune Training and Research Hospital, Clinic of Infectious Disease and Clinical Microbiology, Uskudar, Istanbul, Turkey
^bHaydarpasa Numune Training and Research Hospital, Clinic of Internal Medicine, Uskudar, Istanbul, Turkey
^cMaltepe University, Medical Faculty, Department of Cardiology, Istanbul, Turkey

Received January 1, 2003
Accepted May 1, 2003

The group G streptococcal endocarditis is a rare form of infective endocarditis. In this form of infective endocarditis, serious neurological complications most commonly develop. We reported this case because of its being an unusual form of infective endocarditis that was caused by Group G Streptococcus. We also reviewed the literature. The patient was admitted to infectious disease service with a presumptive diagnosis of central nervous system infection. Blood cultures were positive for group G streptococcus. There was a mass on the posterior surface of the mitral valve which was 2x 2.5 cm in length on the echocardiography. In the cranial computerized tomography of our patient, slightly increased contrast media uptake was observed in the both parietal lobes, in the both frontal lobes, and in the anterior areas of right occipital lobe. Therefore, this case was assumed as infective endocarditis caused by group G streptococcus with multiple cerebral emboli. Ceftriaxone was given for 4 weeks and gentamicin was given for 2 weeks, and progressive improvement of the patient’s condition was seen.