Two Case Reports of Group B Streptococcal Infective Endocarditis Complicated by Embolism
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- Aoyama Rie
- Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Japan Department of Cardiovascular Medicine, Nippon Medical School, Japan
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- Kobayashi Ayumi
- Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Japan
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- Tubokou Yusuke
- Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Japan
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- Takeda Kazuhiro
- Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Japan
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- Fujimoto Hajime
- Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Japan
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- Harada Kazumasa
- Department of Cardiology, Tokyo Metropolitan Geriatric Hospital, Japan
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- Kyo Shunei
- Department of Cardiac Surgery, Tokyo Metropolitan Geriatric Hospital, Japan
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抄録
Streptococcus agalactiae (Group B streptococcus, GBS) is the major pathogen encountered in the perinatal period, although the incidence of GBS infection has recently increased among non-pregnant adults. Nevertheless, GBS infective endocarditis (IE) is uncommon and often accompanies aortic embolism. We experienced two cases of GBS IE. In Case 1, mobile vegetation of the aortic valve caused an infective cerebral aneurysm. In Case 2, the patient experienced an acute aortic embolic episode. Generally, early surgery for large mobile sites of vegetation is recommended as a class IIb therapy in the guidelines. GBS IE often exhibits a severe clinical course and specificity of vegetation. Therefore, early surgery should be considered in such cases.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (18), 2333-2336, 2015
一般社団法人 日本内科学会