Streptococcus porcinus Endokarditi: İnsanlarda Bildirilen İlk Olgu

Streptococcus porcinus ilk olarak 1937 yılında domuzdan izole edilen bir beta hemolitik streptokoktur. Hayvanlarda; özellikle domuzlarda selülit, endokardit, sepsis, servikal lenfadenit ve spontan düşüklere neden olabilir. İnsanlarda kan, yara, plasenta, idrar, serviks, vajinadan izole edilmiştir ve bugüne kadar az sayıda invaziv S. porcinus enfeksiyonu (bakteriyemi ve beyin absesi) bildirilmiştir. Ulaşılabilen literatürde Streptococcus porcinus'un neden olduğu endokardit olgusuna rastlanmamıştır. Bu yazıda 29 yaşında hamile bir kadında tanı koyduğumuz, insanlarda bildirilen ilk Streptococcus porcinus endokardit olgusunu, bu organizmanın infektif endokardit gibi ciddi enfeksiyonlara yol açabileceğini vurgulamak için sunuyoruz.

Anahtar Kelimeler:

streptococcus porcinus, İnfektif endokardit, Gebelikte endokardit

Streptococcus porcinus Endocarditis: The First Reported Case In Humans

Streptococcus porcinus is a beta hemolytic streptococcus and was first isolated from swine in the year 1937. It can cause cellulitis, endocarditis, sepsis, cervical lymphadenitis and spontaneous abortions in animals, especially pigs. In humans the microorganism has been isolated from blood, wound, placenta, urine, cervix and vagina. A few case of invasive S. porcinus infections (bacteremia and brain abscess) have been reported to date. In available literature no case of endocarditis caused by S.porcinus was found to date. In this article we present the first reported case of Streptococcus porcinus endocarditis in humans; in a 29-year-old pregnant woman to emphasize that this organism can cause severe infections like infective endocarditis.

Keywords:

Streptococcus porcinus, Infective endocarditis, Endocarditis during pregnancy,

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1. Baddour Larry M., Wilson Walter R., Bayer Arnold S., et al. Infective endocarditis in adults: diagnosis, antimicrobial therapy, and management of complications: a scientific statement for healthcare professionals from the American Heart Association. Circulation 2015: 1435-1486.
2. Correa de Sa DD, Tleyjeh IM, Anavekar NS, et al. Epidemiological trends of infective endocarditis: a population-based study in Olmsted County, Mayo Clin Proc. 2010:422–426
3. Facklam R., Elliott J., Pigott N., Franklin A. R. Identification of Streptococcus porcinus from Human Sources. Journal Of Clinical Microbiology, Feb. 1995: 385–388.
4. Bağcıgil AF., İkiz S., Metiner K.,Özgür NY., Ak S., Ilgaz AA. Isolation of Streptococcus species from the tonsils of slaughtered pigs. Turk J Vet Anim Sci 2013: 94-96
5. Duarte Rafael S., Barros Rosana R., Facklam Richard R., Teixeira Lu´cia M. Phenotypic and Genotypic Characteristics of Streptococcus porcinus Isolated from Human Sources. Journal Of Clinical Microbiology, Sep 2005: 4592–4601
6. Habib G., Lancellotti P. , Antunes M J., Bongiorni M G. Casalta J., Del Zotti F. 2015 ESC Guidelines for the management of infective endocarditis. European Heart Journal 2015: 3075–3123
7. Montoya ME, Karnath BM, Ahmad M. Endocarditis during pregnancy. South Med J 2003;96:1156–1157.
8. Martínez Bustamante D., Pérez Cárdenas S., Arteaga Treviño M., Martínez Ponce de León,Á. R. Emerging pathogens in the central nervous system: a cerebral abscess by Streptococcus porcinus. Medicina universitaria, 2015: 177-180.
9. Gullett J C., Westblade L F., Green D A., Whittier S., Burd E. M.. The brief case: too beta to be a “B”. Journal of clinical microbiology, 2017: 55(6), 1604-1607.
10. Martin C., Fermeaux V., Eyraud J., Aubard Y.. Streptococcus porcinus as a Cause of Spontaneous Preterm Human Stillbirth. Journal Of Clinical Microbiology, Sept. 2004: 4396–4398
11. Nadji G., Rusinaru D., Re ́madi J-P., Jeu A., Sorel C., Tribouilloy C. Heart failure in left-sided native valve infectiveendocarditis: characteristics, prognosis,and results of surgical treatment. European Journal of Heart Failure 2009:11, 668–675