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Infective endocarditis of an aortic intimal flap due to S treptococcus agalactiae in a patient with S jögren's syndrome: an unusual clinical case report
Author(s) -
De Chiara Benedetta,
Peritore Angelica,
Sara Roberto,
Giannattasio Cristina,
Moreo Antonella
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13274
Subject(s) - medicine , ascending aorta , endocarditis , pseudoaneurysm , aortic dissection , aorta , dissection (medical) , prosthesis , surgery , septic arthritis , streptococcus agalactiae , cardiology , radiology , aneurysm , arthritis , streptococcus , bacteria , biology , genetics
A 67‐year‐old woman, suffering from S jögren's syndrome, was admitted for septic asymmetric arthritis due to S treptococcus agalactiae . She had previously undergone a replacement of the ascending aorta (type A acute aortic dissection). A transthoracic and transesophageal echocardiography showed small pseudoaneurysm of the sino‐tubular junction and vegetations attached both to the aortic cusps and to a residual intimal flap near the proximal edge of the vascular prosthesis. A 18 F ‐ FDG PET / CT scan confirmed the diagnosis.