Diagnosis of Infective Endocarditis After First Meningitis by Streptococcus gallolyticus: A Case Report

Abstract

Shuaishuai Yuan, Pailing Xie, Peijun Li Division of Cardiovascular Intensive Care (C-ICU), Cardiac and Vascular Center, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong, People’s Republic of ChinaCorrespondence: Pailing Xie; Peijun Li, Email [email protected]; [email protected]: We present a case study of a patient diagnosed with infective endocarditis (IE) following the initial symptom of meningitis caused by Streptococcus gallate subsp. Pasteur. Identification of IE by clinicians is vital for timely treatment measures and can improve patient prognosis. Therefore, increased awareness and knowledge of IE are crucial for prompt and accurate diagnosis and treatment. Atypical clinical manifestations of IE can result in misdiagnosis, highlighting the need for improved clinical identification. In the instance of extended reoccurring fever coupled with damage to the central nervous system, as described in this article, it is crucial to obtain a comprehensive medical history, perform a thorough physical examination, monitor heart murmur changes dynamically, and expediently conduct blood culture and cardiac color Doppler ultrasound to lessen the possibility of erroneous diagnosis and treatment of IE Currently, there are no reported cases of IE associated with streptococcal meningitis in adults in China.Keywords: infective endocarditis, meningitis

Keywords

• infective endocarditis； meningitis