• J Microbiol Immunol Infect · Feb 2004

    Case Reports

    Streptococcus constellatus causing myocardial abscess complicated by cerebritis.

    • Wen-Cheng Tsai, Liang-Kai Chang, and Tzu-Chiang Lin.
    • Section of Infectious Disease, Armed Forces Tsoying Hospital, Kaohsiung, Taiwan, ROC. wenchengtsai001@yahoo.tw
    • J Microbiol Immunol Infect. 2004 Feb 1; 37 (1): 63-6.

    AbstractStreptococcus constellatus infection is a rare cause of myocardial abscess. The complication of cerebritis is also rare. We report a case of S. constellatus bacteremia in a 21-year-old woman who developed fever and watery diarrhea 7 days prior to admission. Computed tomography of the brain showed severe effacement of the cerebral sulci, narrowing of the ventricular system, and severe brain swelling. Echocardiography showed a cystic lesion of about 2 cm(2) over the left atrium. Mannitol and dexamethasone were administered. Hyperventilation was performed. Intravenous penicillin G and ceftazidime were administered but without response. The increased intracranial pressure persisted despite medical treatment. She died 3 days after admission. Culture of cerebrospinal fluid grew S. constellatus and 3 sets of blood cultures grew S. constellatus. This case emphasizes the potential pathogenic role of S. constellatus in myocardial abscess.

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