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Human native endocarditis caused by Streptococcus canis-a case report

B. Mališová, P. Šantavý, Y. Lovečková, B. Hladký, I. Kotásková, J. Pol, V. Lonský, P. Němec, T. Freiberger,

Language English Country Denmark

Document type Case Reports

We report a very rare case of Streptococcus canis native infective endocarditis in a 73-year-old woman living in close contact with her dog. Her echocardiography showed large calcifications in the mitral annulus, massive regurgitation below the posterior leaflet, and adjacent vegetation. Blood culture was positive for Streptococcus Lancefield group G. A coronary artery bypass and mitral valve replacement had to be done. Streptococcus canis was detected in a heart valve using a broad range PCR followed by 16S rRNA and confirmed by tuf gene sequencing, while tissue culture remained negative. The patient was not bitten by her dog nor did she have comorbidities or skin ulcers. She fully recovered.

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$a We report a very rare case of Streptococcus canis native infective endocarditis in a 73-year-old woman living in close contact with her dog. Her echocardiography showed large calcifications in the mitral annulus, massive regurgitation below the posterior leaflet, and adjacent vegetation. Blood culture was positive for Streptococcus Lancefield group G. A coronary artery bypass and mitral valve replacement had to be done. Streptococcus canis was detected in a heart valve using a broad range PCR followed by 16S rRNA and confirmed by tuf gene sequencing, while tissue culture remained negative. The patient was not bitten by her dog nor did she have comorbidities or skin ulcers. She fully recovered.
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$a Šantavý, Petr $u Department of Cardiac Surgery, Palacky University Teaching Hospital, Olomouc, Czech Republic.
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$a Lovečková, Yvona $u Department of Microbiology, Faculty of Medicine and Dentistry, Palacky University and University Hospital, Olomouc, Czech Republic.
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$a Hladký, Bořivoj $u Hranice Regional Hospital, Hranice, Czech Republic.
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$a Kotásková, Iva $u Centre for Cardiovascular Surgery and Transplantation, Brno, Czech Republic.
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$a Lonský, Vladimír $u Department of Cardiac Surgery, Palacky University Teaching Hospital, Olomouc, Czech Republic.
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$a Freiberger, Tomáš $u Centre for Cardiovascular Surgery and Transplantation, Brno, Czech Republic. Faculty of Medicine, Institute of Clinical Immunology and Allergology, Masaryk University, Brno, Czech Republic.
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