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Case Reports
. 2011 Aug 19:2011:bcr0620114304.
doi: 10.1136/bcr.06.2011.4304.

Streptococcus pneumoniae endocarditis on replacement aortic valve with panopthalmitis and pseudoabscess

Stephen O'Brien  1 , Mark Dayer, James Benzimra, Susan Hardman, Mandie Townsend
Affiliations
Case Reports

Streptococcus pneumoniae endocarditis on replacement aortic valve with panopthalmitis and pseudoabscess

Stephen O'Brien et al. BMJ Case Rep. .

Abstract

A 63-year-old woman with a previous episode of Streptococcus agalactiae endocarditis requiring a bioprosthetic aortic valve replacement presented with a short history of malaise, a right panopthalmitis with a Roth spot on funduscopy of the left eye and Streptococcus pneumoniae grown from vitreous and aqueous taps as well as blood cultures. She developed first degree heart block and her ECG was suggestive of an aortic root abscess. This gradually resolved over 6 weeks, during which she was treated with intravenous antibiotics. After careful consideration, it is likely that what was thought to be an aortic root abscess was instead an area of perivalvular inflammation.

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Conflict of interest statement

Competing interests None.

Figures

Figure 1
Figure 1
A photograph of the left retina showing an area just superior to the optic disc suggestive of a Roth spot.
Figure 2
Figure 2
CT scan demonstrating proptosis of the right eye.
See this image and copyright information in PMC

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