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Acute abdomen revealed Streptococcus gordonii infective endocarditis with systemic embolism

Lookup NU author(s): Dr Edmund Ong



This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


© The Author(s) 2022. Infective endocarditis can result in potentially fatal complications such as heart failure, systemic embolization, mycotic aneurysm and neurological complications. Staphylococci and streptococci are the most common causative agents of infective endocarditis, with Streptococcus gordonii being a rare cause. We present a case of infective endocarditis in a young patient who presented with an acute abdomen 2 months after being diagnosed with cerebrovascular accident. An abdominal computed tomography revealed superior mesenteric artery thrombosis, and infarct in the right kidney and spleen as a result of systemic septic embolism. Echocardiography showed numerous vegetations at the aortic and mitral valves. Infective endocarditis was diagnosed based on echocardiographic findings and positive blood cultures for S. gordonii. He was treated with intravenous benzylpenicillin and was also referred for surgical intervention.

Publication metadata

Author(s): Chang CY, Gan YL, Radhakrishnan AP, Ong ELC

Publication type: Article

Publication status: Published

Journal: Oxford Medical Case Reports

Year: 2022

Volume: 2022

Issue: 1

Online publication date: 24/01/2022

Acceptance date: 04/12/2021

Date deposited: 20/06/2023

ISSN (electronic): 2053-8855

Publisher: Oxford University Press


DOI: 10.1093/omcr/omab145


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