Streptococcus gallolyticus Endocarditis Complicating Rheumatic Heart Disease - A Case Report
1Department of Microbiology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India 2Department of Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India
*Corresponding author
Abstract:
Streptococcus gallolyticus, a member of group D enterococci is a significant cause of infective endocarditis and bacteremia. It is usually associated with colonic neoplasia in most cases of bacteremia. We present a case of Streptococcus gallolyticus endocarditis in a 40-year-old male patient with underlying rheumatic heart disease. He had low grade intermittent fever, breathlessness, syncope, profuse night sweats and loss of weight. Mid diastolic murmur was heard over the mitral area and loud P2 heard over pulmonary area on cardiovascular examination. Three sets of blood cultures were obtained, all of which grew Streptococcus gallolyticus subsp. gallolyticus. The patient was treated with ceftriaxone and gentamicin and planned for valve replacement and screening for colonic neoplasm. To conclude, prompt identification and management of S. gallolyticus endocarditis are essential to mitigate the risk of valve destruction and underlying colonic neoplasia.
Keywords: Streptococcus gallolyticus, rheumatic heart disease, gram-positive cocci
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How to cite this article:
Benedict Vinothini A., Hyma K. P. V., Naveen Arul, Vinod K. V., Apurba S. Sastry and Mythilipraba S. 2026.
Streptococcus gallolyticus Endocarditis Complicating Rheumatic Heart Disease - A Case Report.
Int.J.Curr.Microbiol.App.Sci. 15(3): 212-214. doi:
https://doi.org/10.20546/ijcmas.2026.1503.021
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National Academy of Agricultural Sciences (NAAS) 
