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Autops Case Rep. 2013 Dec 31;3(4):13-22. doi: 10.4322/acr.2013.034. eCollection 2013.

Infective endocarditis with left to right intracardiac fistula due to Streptococcus anginosus - a rare complication caused by an even rarer bacterium.

Autopsy & case reports

Robert Forster, Fernando Peixoto Ferraz de Campos, Silvana Maria Lovisolo, Vera Demarchi Aiello, João Augusto Dos Santos Martines

Affiliations

  1. Department of Internal Medicine - Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.
  2. Department of Internal Medicine - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
  3. Anatomic Pathology Service - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
  4. Laboratory of Pathology - Instituto do Coração - Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.
  5. Diagnostic Imaging Service - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.

PMID: 28584802 PMCID: PMC5453656 DOI: 10.4322/acr.2013.034

Abstract

Although infective endocarditis (IE) has been described in reports dating from the Renaissance, the diagnosis still challenges and the outcome often surprises. In the course of time, diagnostic criteria have been updated and validated to reduce misdiagnosis. Some risk factors and epidemiology have shown dynamic changes since degenerative valvular disease became more predominant in developed countries, and the mean age of the affected population increased. Despite streptococci have been being well known as etiologic agents, some groups, although rare, have been increasingly reported (e.g.,

Keywords: Aorta-pulmonary artery fistula; Autopsy; Bicuspid Aortic Valve; Endocarditis; Pulmonary Embolism; Streptococcus anginosus

Conflict of interest statement

Conflict of interest: None

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