Streptococcus pneumoniae endocarditis on replacement aortic valve with panopthalmitis and pseudoabscess

BMJ Case Rep. 2011 Aug 19;2011:bcr0620114304. doi: 10.1136/bcr.06.2011.4304.


A 63-year-old woman with a previous episode of Streptococcus agalactiae endocarditis requiring a bioprosthetic aortic valve replacement presented with a short history of malaise, a right panopthalmitis with a Roth spot on funduscopy of the left eye and Streptococcus pneumoniae grown from vitreous and aqueous taps as well as blood cultures. She developed first degree heart block and her ECG was suggestive of an aortic root abscess. This gradually resolved over 6 weeks, during which she was treated with intravenous antibiotics. After careful consideration, it is likely that what was thought to be an aortic root abscess was instead an area of perivalvular inflammation.

Publication types

  • Case Reports

MeSH terms

  • Abscess / diagnosis*
  • Abscess / microbiology*
  • Anti-Bacterial Agents / therapeutic use
  • Diagnosis, Differential
  • Electrocardiography
  • Endocarditis, Bacterial / diagnosis*
  • Endocarditis, Bacterial / microbiology*
  • Endophthalmitis / diagnosis*
  • Endophthalmitis / drug therapy
  • Endophthalmitis / microbiology*
  • Female
  • Heart Valve Diseases / microbiology*
  • Heart Valve Diseases / surgery*
  • Heart Valve Prosthesis / microbiology*
  • Humans
  • Middle Aged
  • Streptococcal Infections / diagnosis*
  • Streptococcal Infections / microbiology*
  • Streptococcal Infections / surgery*
  • Streptococcus agalactiae / isolation & purification
  • Streptococcus pneumoniae / isolation & purification
  • Tomography, X-Ray Computed


  • Anti-Bacterial Agents