Streptococcus gordonii: A Rare Cause of Infective Endocarditis with High Embolic Potential Revealed by Febrile Ischemic Stroke

Charfo M *

Department of Cardiology, Ibn Rochd University Hospital Center, Casablanca, Morocco.

Afendi L

Department of Cardiology, Ibn Rochd University Hospital Center, Casablanca, Morocco.

Belmalyani R

Department of Cardiology, Ibn Rochd University Hospital Center, Casablanca, Morocco.

Errami A

Department of Cardiology, Ibn Rochd University Hospital Center, Casablanca, Morocco.

Haboub M

Department of Cardiology, Ibn Rochd University Hospital Center, Casablanca, Morocco.

Drighil A

Department of Cardiology, Ibn Rochd University Hospital Center, Casablanca, Morocco.

*Author to whom correspondence should be addressed.


Abstract

Infective endocarditis is a relatively rare disease which, despite today's advances in diagnosis and treatment, is still associated with a high morbidity and mortality rate. Staphylococci and streptococci head the list of causative organisms. Few cases of Streptococcus gordonii endocarditis have been reported in the literature.

We report the case of a 34-year-old man with no previous history of S. gordonii IE, responsible for multiple systemic embolisms in addition to valvular lesions.

Keywords: Embolism, endocarditis, Streptococcus gordonii, stroke


How to Cite

Charfo M, Afendi L, Belmalyani R, Errami A, Haboub M, & Drighil A. (2024). Streptococcus gordonii: A Rare Cause of Infective Endocarditis with High Embolic Potential Revealed by Febrile Ischemic Stroke. Cardiology and Angiology: An International Journal, 13(1), 12–17. https://doi.org/10.9734/ca/2024/v13i1388

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References

Cahill TJ, Prendergast BD. Infective endocarditis. Lancet. 2016 Feb 27; 387(10021):882-93. DOI: 10.1016/S0140-6736(15)00067-7 Epub 2015 Sep 1. PMID: 26341945.

Delahaye F, Delahaye C. Endocardite infectieuse. EMC – Cardiologie 2023 ;37 . n◦1 > Février . Available:http://dx.doi.org/10.1016/S1166-4568(22)45425-8

Cimmino G, Bottino R, Formisano T, Orlandi M, Molinari D, Sperlongano S, et al. Current views on infective endocarditis: Changing epidemiology, improving diagnostic tools and centering the patient for up-to-date management. Life. 2023 Feb;13(2):377.

Mosailova N, Truong J, Dietrich T, Ashurst J. Streptococcus gordonii: A Rare cause of infective endocarditis. Case Reports in Infectious Diseases. 2019 Jun 12;2019:1–2.

Humphrey TJ, Marchwiany D, Salimy MS, Nelson SB, Bedair HS, Melnic CM. Outcomes of concurrent endocarditis and periprosthetic joint infection: A retrospective case series of 16 patients. Cureus. 2022 Apr 14;14(4):e24139. DOI: 10.7759/cureus.24139 PMID: 35573522; PMCID: PMC9106541.

Chamat-Hedemand S, Dahl A, Østergaard L, Arpi M, Fosbøl E, Boel J, et al. Prevalence of infective endocarditis in streptococcal bloodstream infections is dependent on streptococcal species. Circulation. 2020 Aug 25;142(8):720–30.

Dadon Z, Cohen A, Szterenlicht YM, Assous MV, Barzilay Y, Raveh-Brawer D, et al. Spondylodiskitis and endocarditis due to Streptococcus gordonii. Ann Clin Microbiol Antimicrob. 2017 Oct 4;16:68.

Chang CY, Gan YL, Radhakrishnan AP, Ong ELC. Acute abdomen revealed Streptococcus gordonii infective endocarditis with systemic embolism. Oxford Medical Case Reports. 2022 Jan 1;2022(1):omab145.

Rajevac H, Taweesedt P, Khan Z, Bachan M. 1097: A rare case of Streptococcus gordonii causing empyema. Critical Care Medicine. 2020 Jan;48(1):528.

Hussin SA, Iberahim NA, Mokthar Z, Othman MK, Keat TJ, Nah NMZ, et al. The success story of complicated Streptococcus gordonii infective endocarditis management: A case report. International Journal of Cardiology. 2022 Dec;369:45.

Wang Y, Xu R, Li M, Duan C, Wang L, Duan W. Streptococcus gordonii infectious endocarditis presenting as a neurocysticercosis mimic — A rare manifestation. Journal of Infection and Public Health. 2021 Jan 1;14(1):39–41.

Urano-Tashiro Y, Saiki K, Yamanaka Y, Ishikawa Y, Takahashi Y. Streptococcus gordonii DL1 evades polymorphonuclear leukocyte-mediated killing via resistance to lysozyme. PLOS ONE. 2021 Dec 20; 16(12):e0261568.

Habib G, Lancellotti P, Antunes MJ, Bongiorni MG, Casalta JP, Del Zotti F, et al. 2015 esc guidelines for the management of infective endocarditis: The task force for the management of infective endocarditis of the european society of cardiology (esc) endorsed by: European association for cardio-thoracic surgery (EACTS), the european association of nuclear medicine (EANM). Eur Heart J. 2015 Nov 21;36(44):3075–128.

Hristakos N, Aleman R, Morreale C, Rifai L. Subacute Streptococcus gordonii infective endocarditis following mitraclip placement with prosthetic sparing. Journal of the American College of Cardiology. 2021 May 11;77(18_Supplement_1):2843–2843.

Le Bayon A, Lebourg O, Blard JM, Pagès M. Hémorragie cérébrale par rupture d’anévrisme mycotique. Deux observations. La Revue De Médecine Interne. 2002 May 1;23(5):469–73.

Byrne JG, Rezai K, Sanchez JA, Bernstein RA, Okum E, Leacche M, et al. Surgical management of endocarditis: The society of thoracic surgeons clinical practice guideline. The Annals of Thoracic Surgery. 2011 Jun 1;91(6):2012–9.

Sebastian SA, Co EL, Mehendale M, Sudan S, Manchanda K, Khan S. Challenges and updates in the diagnosis and treatment of infective endocarditis. Current Problems in Cardiology. 2022 Sep 1;47(9):101267.