An Ineffective Differential Diagnosis of Infective Endocarditis and Rheumatic Heart Disease after Streptococcal Skin and Soft Tissue Infection

DOI Web Site PubMed 9 References Open Access
  • Mawatari Momoko
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan Infection Control and Prevention Center, Gunma University Hospital, Japan
  • Suzuki Tetsuya
    Department of Internal Medicine, Nerima Hikarigaoka Hospital, Japan Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
  • Iizuka Toshihiko
    Department of Diagnostic Pathology, National Center for Global Health and Medicine, Japan
  • Amano Tatsuya
    Department of Cardiology, New Tokyo Hospital, Japan
  • Fujiya Yoshihiro
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
  • Kutsuna Satoshi
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
  • Ohmagari Norio
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
  • Takeshita Nozomi
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan
  • Hayakawa Kayoko
    Disease Control and Prevention Center, National Center for Global Health and Medicine, Japan

Bibliographic Information

Published
2017
Resource Type
journal article
DOI
  • 10.2169/internalmedicine.8411-16
Publisher
The Japanese Society of Internal Medicine

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Description

<p>We herein report the case of a 68-year-old woman with a skin and soft tissue infection at her extremities. The blood culture results were positive for Streptococcus pyogenes, and we started treatment using ampicillin and clindamycin, although subsequent auscultation revealed a new-onset heart murmur. We therefore suspected rheumatic heart disease and infective endocarditis. The case met both the Jones criteria and the modified Duke criteria. Transesophageal echocardiography revealed vegetation on the aortic valve, although the pathological findings were also compatible with both rheumatic heart disease and infective endocarditis. The present findings suggest that these two diseases can coexist in some cases. </p>

Journal

  • Internal Medicine

    Internal Medicine 56 (17), 2361-2365, 2017

    The Japanese Society of Internal Medicine

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