alexa A Case of Streptococcus bovis Endocarditis Presenting a
ISSN: 2329-6895

Journal of Neurological Disorders
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Case Report

A Case of Streptococcus bovis Endocarditis Presenting as a Neurosurgical Emergency

Santos MM1*, Belo D2, Cruz S3, Loureiro J4 and Livraghi S5
1Neurological Surgery Department, Centro Hospitalar Lisboa Norte, 1649035 Lisboa, Portugal
2Neurological Surgery Department, Centro Hospitalar Lisboa Norte, Portugal
3Neurology Department, Hospital Fernando Fonseca, Portugal
4Hospital Fernando Fonseca, Cardiology Department, Hospital Fernando Fonseca, Portugal
5Neurological Surgery Department, Centro Hospitalar Lisboa Norte, Portugal
Corresponding Author : Maria M Santos
Neurological Surgery Department
Centro Hospitalar Lisboa Norte
1649035 Lisboa, Portugal
Tel: 351217972855
Fax: 351217972855
E-mail: [email protected]
Received June 22, 2015; Accepted August 18, 2015; Published August 21, 2015
Citation: Santos MM, Belo D, Cruz S, Loureiro J, Livraghi S (2015) A Case of Streptococcus bovis Endocarditis Presenting as a Neurosurgical Emergency. J Neurol Disord 3:246. doi:10.4172/2329-6895.1000246
Copyright: © 2015 Santos MM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided theoriginal author and source are credited.
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Abstract

Rheumatic manifestations have been reported to occur in as many as of 41% in patients with infective endocarditis (IE) [1]. Back pain is the second most common rheumatic manifestation of IE, although, the occurrence of both infective endocarditis and spondylodiscitis is rare, with an estimated general incidence of 2.5% [2,3]. Among such cases, Streptococcus bovis is the most frequently isolated etiologic agent due to its specific tropism for vertebra [4]. Streptococcus bovis endocarditis usually presents with an indolent course and tends to occur in older males with underlying colonic pathology [5]. Streptococcus bovis spondylodiscitis commonly affects the lumbar spine, has a slow and insidious onset and is usually managed successfully with intravenous antibiotics [6-8].

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