International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 6 | Case Report | Open Access DOI
Haleema Javid*
Reshma Varughese2, Rabia Khan3, Haleema Javid1*, Muhammad Fahad Khalid4, Munir Shah5
1Internal Medicine Resident Physician, Western Reserve Health Education, Ohio, USA
2Ross University School of Medicine, Bridgetown, Barbados
3Ross University School of Medicine, Bridgetown, Barbados
4Internal Medicine Resident Physician, Western Reserve Health Education, Ohio, USA
5Infectious Diseases Specialist, Associate Professor of Medicine NEOMED, Western Reserve Health Education, Youngstown, Ohio, USA
*Correspondence to: Haleema Javid
Fulltext PDFStreptococcus bovis (formerly group D streptococci) is a catalase-negative, gram-positive cocci in pairs or chains that are resident of the gastrointestinal microbiota of humans. These opportunistic pathogens are associated with various human diseases, including infective endocarditis and colonic neoplasm.
We present the case of a 73-year-old male with significant cardiac history who presented after a syncopal episode following Implantable cardioverter defibrillator (ICD) multiple firing with blood cultures positive for Streptococcus infantarius subspecies coli (S. bovis biotype II/1) formerly known as Streptococcus lutiensis. Transesophageal echocardiography showed echodensity attached to the ICD lead that was suspicious for vegetation. CT abdomen and pelvis findings suggested splenic infarction, indicating embolization secondary to Infective endocarditis.
Although previous studies have indicated that the S.bovis subspecies have varying propensities to cause IE, with S.gallolyticus accounting for the majority of IE cases, there is still insufficient data about the incidence of IE with other subspecies of S.bovis. We will discuss the incidence of IE with S.infantarius subspecies coli of S.bovis and the importance of considering echocardiography in bacteremia with S.infantarius.
Streptococcus bovis; Streptococcus infantarius; Infective endocarditis; Bacteremia; Implantable cardioverter defibrillator
Reshma Varughese, Rabia Khan, Haleema Javid, Muhammad Fahad Khalid, Munir Shah. A Rare Case of Cardiac Device Related Infective Endocarditis Caused by Streptococcus Infantarius Subspecies Coli (S. Bovis Biotype II/1). Int Clinc Med Case Rep Jour. 2024;3(6):1-5.