Misdiagnosis of Streptococcus gallolyticus endocarditis
Rodrigo Tzovenos Starosta, Raquel Rivero, Francine Hehn de Oliveira, Eron Lopes, Marcelle Reesink Cerski
Abstract
Death certificate inaccuracy is of major concern both in the public health domain and in individual health care, since it may yield untruthful data on the incidence, prevalence, and lethality of medical entities, and may hamper prophylactic measures among those who share, with the deceased, the common genetic, environmental, or behavioral risk factors. An effective way to settle this haziness relies on the increase of autopsy performance, increasing manifold the exactitude as well as facing surprising diagnoses. In this report, the authors present the case of a middle-aged woman who sought medical care because of back pain accompanied by weight loss. She died suddenly and unexpectedly in the Emergency Room. In this case, due to the unusual clinical presentation and the patient’s unexpected death, the causa mortis would not have been elucidated if the autopsy had not been undertaken.
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References
1. Gómez-Garcés JL, Gil Y, Burillo A, Wilhelmi I, Palomo M. Cuadros clínicos asociados a bacteriemia causada por las nuevas especies incluidas en el antiguo grupo Streptococcus bovis. Enferm Infecc Microbiol Clin. 2012;30(4):175-9. http://dx.doi.org/10.1016/j.eimc.2011.09.015. PMid:22377494.
2. Boleij A, van Gelder MM, Swinkels DW, Tjalsma H. Clinical Importance of Streptococcus gallolyticus infection among colorectal cancer patients: systematic review and metaanalysis. Clin Infect Dis. 2011;53(9):870-8. http://dx.doi.org/10.1093/cid/cir609. PMid:21960713.
3. Alozie A, Köller K, Pose L, et al. Streptococcus bovis infectious endocarditis and occult gastrointestinal neoplasia: experience with 25 consecutive patients treated surgically. Gut Pathol. 2015;7(1):27-31. http://dx.doi.org/10.1186/s13099-015-0074-0. PMid:26473016.
4. Kupferwasser I, Darius H, Müller AM, et al. Clinical and morphological characteristics in Streptococcus bovis endocarditis: a comparison with other causative microorganisms in 177 cases. Heart. 1998;80(3):276-80. http://dx.doi.org/10.1136/hrt.80.3.276. PMid:9875088.
5. Thuny F, Di Salvo G, Belliard O, et al. Risk of embolism and death in infective endocarditis: prognostic value of echocardiography: a prospective multicenter study. Circulation. 2005;112(1):69-75. http://dx.doi.org/10.1161/CIRCULATIONAHA.104.493155. PMid:15983252.
6. Calder KK, Herbert M, Henderson SO. The mortality of untreated pulmonary embolism in emergency department patients. Ann Emerg Med. 2005;45(3):302-10. http://dx.doi.org/10.1016/j.annemergmed.2004.10.001. PMid:15726055.
7. Mieno MN, Tanaka N, Arai T, et al. Accuracy of death certificates and assesment of factors for misclassification for underlying cause of death. J Epidemiol. 2016;26(4):191-8. http://dx.doi.org/10.2188/jea.JE20150010. PMid:26639750.
8. Boleij A, Muytjens CM, Bukhari SI, et al. Novel clues on the specific association of Streptococcus gallolyticus subsp gallolyticus with colorectal cancer. J Infect Dis. 2011;203(8):1101-9. http://dx.doi.org/10.1093/infdis/jiq169. PMid:21451000.
Publication date:
09/29/2016
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