Endocardite tricuspide du post-partum à streptocoque B

Isolated Streptococcus agalactiae tricuspid endocarditis in elderly patient without known predisposing factors: Case report and review of the literature

“…All patients who underwent surgery had a good evolution [15], [16], [17]. Five patients who received only medical treatment died (29.4%) [16]. Our patient was the oldest described in the literature.…”

“…S. agalactiae RSIE is very rare and involves either drug users, pregnant women, and elderly adults [13]. Only 24 cases of GBS infective endocarditis involving the tricuspid valve have been reported in the literature [14], [15], [16], [17]; our case is the 25th to be described (Table 1) [5], [8], [13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23], [24], [25], [26], [27], [28].…”

“…Only seven patients were intravenous drug abusers and four had underlying chronic diseases. Most patients (19 of 24) were female and infective endocarditis occurred after obstetrical intervention in 10 of them [16], [17]. The clinical presentation was severe with acute onset, large vegetation, and tricuspid valve mutilation in most patients (88%).…”

“…Surgical treatment were indicated in seven cases and consisted in valve excision and replacement with a bioprothesis or tricuspid annuloplasty according to valve anatomy. All patients who underwent surgery had a good evolution [15], [16], [17]. Five patients who received only medical treatment died (29.4%) [16].…”