Key result
A 36-year-old man with an unrepaired ventricular septal defect and extensive right-sided pneumococcal endocarditis was successfully treated with targeted antibiotic therapy and cardiac surgery.
Why the study?
Streptococcus pneumoniae is a rare cause of infectious endocarditis that typically follows an acute, aggressive course with high mortality.
Case Report (n=1)
No
Highlights a rare case of aggressive right-sided Streptococcus pneumoniae endocarditis in a patient with an unrepaired ventricular septal defect, successfully managed with combined medical and surgical therapy.
Supports combined therapy in rare right-sided pneumococcal endocarditis with VSD; hypothesis-generating, requires prospective validation.
Streptococcus pneumoniae is a rare cause of infectious endocarditis. Most cases have an acute and aggressive evolution, with a high mortality rate. We report the case of a 36-year-old man, with a history of unrepaired ventricular septal defect, who came to the emergency department with fever, cough and asthenia with 3 months of evolution. Blood cultures were positive for Streptococcus pneumoniae. Echocardiogram showed large vegetation on septum, free wall and outflow tract of the right ventricle. Thoracic CT revealed septic pulmonary embolism. Antimicrobial therapy and surgical treatment was performed and the patient presented a favourable evolution.
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Rocha et al. (2021) conducted a case report in Right-sided infectious endocarditis due to Streptococcus pneumoniae (n=1). Antimicrobial therapy and cardiac surgery was evaluated on Clinical outcome. A 36-year-old man with an unrepaired ventricular septal defect and extensive right-sided pneumococcal endocarditis was successfully treated with targeted antibiotic therapy and cardiac surgery.
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