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Infective Endocarditis due to Streptococcus Agalactiae in Young and Immunocompetent Woman: A Case of Structurally Normal Valve Endocarditis Presented with Major Stroke

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초록

We describe here a 26-year-old woman who presented confusion and right hemiparesis due to embolic obstruction of left internal carotid artery and middle cerebral artery. Transthoracic echocardiography showed structurally normal mitral valve with hypermobile echogenic material suggesting vegetation. The vegetation was disappeared after antimicrobial treatment without surgery.

Abstract

We describe here a 26-year-old woman who presented confusion and right hemiparesis due to embolic obstruction of left internal carotid artery and middle cerebral artery. Transthoracic echocardiography showed structurally normal mitral valve with hypermobile echogenic material suggesting vegetation. The vegetation was disappeared after antimicrobial treatment without surgery.

참고문헌 (12)

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  6. Baddour LM, "Infective endocarditis: diagnosis, antimicrobial therapy, and management of complications: a statement for healthcare professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on CardiovascularDisease in the Young, and the Councils on Clinical Cardiology, Stroke, and Cardiovascular Surgery and Anesthesia, American Heart Association: endorsed by the Infectious Diseases Society of America", Circulation, 111, pp.394~434 (2005)
  7. 박진용, "다발성 뇌경색을 동반한 Streptococcus agalactiae에 의한 감염심내막염 2예", Infection and Chemotherapy, 38(5), pp.271~276 (2006), 대한감염학회
  8. Lim TK, "A case of infective endocarditis caused by Streptococcus agalactiae, in a patient with advanced gastric cancer", Korean J Med, 77, pp.209~212 (2009)
  9. Wilson W, "Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group", Circulation, 116, pp.1736~1754 (2007)
  10. Farley MM, "A population-based assessment of invasive disease due to group B streptococcus in nonpregnent adults", N Engl J Med, 328, pp.1807~1811 (1993)
  11. Ivanova Georgieva R, "Streptococcus agalactiae left-sided infective endocarditis. Analysis of 27 cases from a multicentric cohort", J Infect, 61, pp.54~59 (2010)
  12. Sambola A, "Streptococcus agalactiae infective endocarditis: analysis of 30 cases and review of the literature 1962-1998", Clin Infect Dis, 34, pp.1576~1584 (2002)

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