Subacute Streptococcus Gordonii Infective Endocarditis Following Mitraclip Placement With Prosthetic Sparing

Hristakos, Nicole; Aleman, Roxanne; Morreale, Chad; Rifai, Luay

doi:10.1016/s0735-1097(21)04198-x

Cited by 3 publications

(6 citation statements)

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“… No NA NA NA Case 20 (Rempfer et al) [ 29 ] Heart failure, low back pain No 48 Corynebacterium spp. No Yes NA Leaflet Case 21 (Roslan et al) [ 30 ] Fever, dyspnea No 0.2 S. aureus Yes Yes NA Clip Case 22 (Shah et al) [ 31 ] Dyspnea No 2 S. aureus Yes Yes NA Clip Case 23 (Tayyar et al) [ 32 ] Fever, stroke Yes 12 P. aeruginosa Yes Yes 20 Clip Case 24 (Zapolski et al) [ 33 ] Fever, stroke Yes 6 CONS Yes Yes 10 Leaflet Case 25 (Hristakos et al) [ 34 ] Fever No 3 S. gordonii Yes Yes 15 Leafl...…”

Section: Resultsmentioning

confidence: 99%

Infective endocarditis involving MitraClip© devices: a systematic literature review

et al. 2023

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Purpose Progress of interventional cardiology has boosted the use of newer cardiac devices. These devices are perceived to be less prone to infections compared to traditional surgical prostheses, but little data are currently available. In this systematic review (SR), we summarize current literature regarding the clinical characteristics, management, and outcomes of patients with MitraClip-related infective endocarditis (IE). Methods We conducted a SR of PubMed, Google Scholar, Embase, and Scopus between January 2003 and March 2022. MitraClip-related IE was defined according to 2015 ESC criteria whereas MitraClip involvement as vegetation on the device or on the mitral valve. Risk of bias was assessed through standardized checklist and potential bias of underestimation cannot be excluded. Data regarding clinical presentation, echocardiography, management, and outcome were collected. Results Twenty-six cases of MitraClip-related IE were retrieved. The median age of patients was 76 [61–83] years with a median EuroScore of 41%. Fever was present in 65.8% of patients followed by signs and symptoms of heart failure (42.3%). IE occurred early in 20 (76.9%) cases with a median time between MitraClip implantation and IE symptom onset of 5 [2–16] months. Staphylococcus aureus was the major causative microorganism (46%). Surgical mitral valve replacement was needed in 50% of patients. A conservative medical approach was considered in the remainder. The overall in-hospital mortality rate was 50% (surgical group: 38.4%; medical group: 58.3%; p = 0.433). Conclusion Our results suggest that MitraClip-related IE affects elderly, comorbid patients, is mostly due to Staphylococcus aureus, and has a poor prognosis irrespective of the therapeutic approach. Clinicians must be aware of the features of this new entity among cardiovascular infections.

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Section: Resultsmentioning

confidence: 99%

Infective endocarditis involving MitraClip© devices: a systematic literature review

et al. 2023

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“…Four patients had recent dental procedures, 7,22,27,28 while only one reported a history of recently treated tonsillitis 29 . Of all patients reviewed, only three had recent valve replacement/repair or abnormal valves as a risk factor for endocarditis 7,30,31 …”

Section: Discussionmentioning

confidence: 99%

“…Mitral valves were most commonly involved (52%), and in almost one‐fifth of the cases, both the aortic and mitral valves were involved 7,28,32 . Almost a third of the patients developed valve complications in the form of dysfunction or perforation, although the data were not available in almost half of the cases 17,22,27–32 …”

Section: Discussionmentioning

confidence: 99%

“…29 Of all patients reviewed, only three had recent valve replacement/repair or abnormal valves as a risk factor for endocarditis. 7,30,31 Of the 25 cases reviewed, 64% reported a history of fever between 1 day and up to 24 weeks prior to presentation; however, in the remainder, the duration was not mentioned. 7,29 Mitral valves were most commonly involved (52%), and in almost one-fifth of the cases, both the aortic and mitral valves were involved.…”

Section: Discussionmentioning

confidence: 99%

“…7,28,32 Almost a third of the patients developed valve complications in the form of dysfunction or perforation, although the data were not available in almost half of the cases. 17,22,[27][28][29][30][31][32] Septic emboli were reported in 36% (9 cases), of which 20% (5 cases) were settled in the brain, and 16% (4 cases) were evident in the spine, causing discitis. 7 The duration of therapy ranged from 4 to 12 weeks, depending on the complication, although data were not always available.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Streptococcus gordonii‐associated infective endocarditis: Case series, literature review, and genetic study

Ali,

Pérez‐López,

Tsui

et al. 2024

Clinical Case Reports

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Key Clinical MessageStreptococcus gordonii‐associated endocarditis is a rare occurrence, raising diagnostic challenges, and is often associated with considerable morbidity. However, vigilance can prevent devastating consequences.AbstractStreptococcus gordonii‐associated endocarditis is rarely reported but often associated with considerable morbidity. We describe three cases of infective endocarditis caused by S. gordonii during a four‐week period in 2023, and the use of whole‐genome sequencing to determine whether these isolates were genetically related. The available literature was reviewed.

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Streptococcus gordonii: A Rare Cause of Infective Endocarditis with High Embolic Potential Revealed by Febrile Ischemic Stroke

Charfo M,

Afendi L,

Belmalyani R

et al. 2024

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Infective endocarditis is a relatively rare disease which, despite today's advances in diagnosis and treatment, is still associated with a high morbidity and mortality rate. Staphylococci and streptococci head the list of causative organisms. Few cases of Streptococcus gordonii endocarditis have been reported in the literature. We report the case of a 34-year-old man with no previous history of S. gordonii IE, responsible for multiple systemic embolisms in addition to valvular lesions.

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Subacute Streptococcus Gordonii Infective Endocarditis Following Mitraclip Placement With Prosthetic Sparing

Cited by 3 publications

References 0 publications

Infective endocarditis involving MitraClip© devices: a systematic literature review

Infective endocarditis involving MitraClip© devices: a systematic literature review

Streptococcus gordonii‐associated infective endocarditis: Case series, literature review, and genetic study

Streptococcus gordonii: A Rare Cause of Infective Endocarditis with High Embolic Potential Revealed by Febrile Ischemic Stroke

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