Streptococcus pneumoniae endocarditis on replacement aortic valve with panopthalmitis and pseudoabscess

Stephen O'Brien, Mark Dayer, James Benzimra, Susan Hardman, Mandie Townsend

Research output: Contribution to journalArticle (Academic Journal)peer-review

3 Citations (Scopus)


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.

Original languageEnglish
JournalBMJ Case Reports
Publication statusPublished - 19 Aug 2011


  • Abscess
  • Anti-Bacterial Agents
  • Diagnosis, Differential
  • Electrocardiography
  • Endocarditis, Bacterial
  • Endophthalmitis
  • Female
  • Heart Valve Diseases
  • Heart Valve Prosthesis
  • Humans
  • Middle Aged
  • Streptococcal Infections
  • Streptococcus agalactiae
  • Streptococcus pneumoniae
  • Tomography, X-Ray Computed


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