Open AccessSubacute Bacterial Endocarditis Associated with Upper Endoscopy
Author(s) -
Byoung Chul Cho,
Jae Hyun Lee,
Jung Won Park,
Chein Soo Hong,
June Myung Kim,
Seok Min Kang,
Yong Soo Kim
Publication year - 2004
Publication title -
yonsei medical journal/yonsei medical journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.702
H-Index - 63
eISSN - 1976-2437
pISSN - 0513-5796
DOI - 10.3349/ymj.2004.45.5.936
Subject(s) - medicine , bacteremia , endoscopy , infective endocarditis , endocarditis , complication , surgery , meningitis , upper gastrointestinal endoscopy , spontaneous bacterial peritonitis , antibiotics , ascites , microbiology and biotechnology , biology
Transient bacteremia associated with various endoscopic procedures is a well-documented phenomenon. Clinically important bacteremias are very rarely seen, however, this malady has significant morbidity in susceptible patients with valvular heart disease, liver cirrhosis, malignancy and immune deficiency. This bacteremia is a complication that is generally observed secondary to upper endoscopy and other associated invasive procedures in at risk patients, and the more serious manifestations include spontaneous bacterial peritonitis, septic arthritis, meningitis, brain abscess and infective endocarditis. Infective endocarditis is an extremely rare complication of gastrointestinal endoscopy, and it has been convincingly documented in only seven cases. We report a case of native valve endocarditis due to Streptococcus intermedius in a patient with valvular heart disease as a consequence of routine upper endoscopy.