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CASE REPORT
Disseminated Infection Caused by Streptococcus agalactiae in Patients Suspected of Having Infective Endocarditis: Two Case Reports
1)Department of Infectious Disease, Shinko Hospital, 2)Division of Infectious Diseases Therapeutics, Department of Microbiology and Infectious Diseases, Kobe University Graduate School of Medicine, 3)Department of Clinical Laboratory, Kobe University Hospital, 4)Research Center for Urban Safety and Security, Kobe University
Hiroki KAGAWA1) & Goh OHJI2)3)4)
(Received May 2, 2017)
(Accepted May 15, 2017)
Key words: Streptococcus agalactiae, bacteremia, infective endocarditis
Abstract

We present 2 cases of disseminated Streptococcus agalactiae bacteremia. The first case was a 62-year-old man who suffered from S. agalactiae bacteremia with vertebral osteomyelitis and discitis with paravertebral infection, multiple arthritis, meningitis and a brain abscess. He was treated with long-term antimicrobial therapy. The second case was a 69-year-old man who suffered from S. agalactiae bacteremia with vertebral osteomyelitis and discitis with paravertebral infection, endophthalmitis and a psoas abscess. He was treated with drainage and long-term antimicrobial therapy. Although neither case was diagnosed as having definite infective endocarditis, they were complicated with multiple metastatic abscesses. S. agalactiae is not a typical causative organism of infective endocarditis. However it can complicate disseminated infection in a similar manner as infective endocarditis.

[ Kansenshogaku Zasshi 91: 778-784, 2017 ]

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