Streptococcus Gallolyticus endocarditis in patient with liver cirrhosis: a case report

  • Aleksandra Radovanovic Spurnić Clinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia
  • Ivana Gmizić Clinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia
  • Ivana Milošević Clinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia
  • Olga Petrović Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia
  • Danilo Obradović Institute for Pathology, School of Medicine University of Belgrade, Belgrade, Serbia
  • Arsen Ristić Cardiology Clinic, Clinical Center of Serbia, Belgrade, Serbia
  • Olja Stevanović Clinic for Infectious and Tropical Diseases, Clinical Center of Serbia, Belgrade, Serbia
Keywords: Streptococcus gallolyticus, endocarditis, pericarditis, alcoholic liver chirrhosis, aortic valve disease

Abstract

Streptococcus gallolyticus (S. gallolyticus) bacteremia is commonly associated with endocarditis and diseases of gastrointestinal tract, especially with colorectal carcinoma. On the other side, it is rarely connected to liver disease, especially alcoholic liver disease. A 44-old patient with a history of one month fever, pre-existing heart murmur and previous alcohol abuse, was treated in Clinic for Infectious and tropical diseases, Clinical Centre of Serbia (CCS), Belgrade. The diagnose of infective endocarditis (IE) of the aortic valve caused by S. gallolyticus has been established. Despite the conducted antibiotic treatment based on antibiogram, pericardial effusion with paracardial aortic abscess was diagnosed on the 9th day of treatment. Pericardiocentesis was done and 800 mL of haemorrhagic fluid was evacuated in the Clinic for Cardiology, CCS. Unfortunately, 20th day of hospitalization the patient died. Clinical autopsy confirmed endocarditis, liver cirrhosis and chronic pericarditis. Prognosis of the outcome of treatment of patient with endocarditis caused S. gallolyticus and liver cirrhosis is not optimistic. Therefore, significant attention should be given to patients with liver cirrhosis and febrile of unknown origin.

Published
2019-04-30
How to Cite
1.
Radovanovic Spurnić A, Gmizić I, Milošević I, Petrović O, Obradović D, Ristić A, Stevanović O (2019) Streptococcus Gallolyticus endocarditis in patient with liver cirrhosis: a case report. J Infect Dev Ctries 13:352-356. doi: https://doi.org/10.3855/jidc.11126
Section
Case Reports