Streptococcus Bovis Endocarditis Post Colonic Polypectomy

Authors

• Napohn Chongprasertpon Department of Cardiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland
• Ronan Cusack Department of Cardiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland
• John Joseph Coughlan Department of Cardiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland
• Wing Tung Chung Faculty of Medicine, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong SAR, The People’s Republic of China
• Chun Ho Leung Faculty of Medicine, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong SAR, The People’s Republic of China
• Thomas John Kiernan Department of Cardiology, University Hospital Limerick, Dooradoyle, Limerick, Ireland

napohn@gmail.com

Keywords

Abstract

We describe a case of Streptococcus lutetiensis infective endocarditis occurring in a patient following colonic polypectomy. The patient had multiple risk factors for infective endocarditis including pre-existing mitral valve prolapse and regurgitation.
Transoesophageal echocardiography revealed a friable mass on the posterior mitral valve leaflet, confirming the diagnosis. The patient was treated with intravenous antibiotics, successfully underwent mitral valve surgery and was discharged home for outpatient follow-up.
This report details an uncommon case presentation, highlights areas for improvement in clinical practice, and summarises the current knowledge available in the literature regarding Streptococcus bovis infective endocarditis.