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Infective Endocarditis Caused by Streptococcus mutansA Complication of Idiopathic Hypertrophic Subaortic Stenosis
Noah Robbins, MD, CM;
George Szilagyi, MD;
Herbert B. Tanowitz, MD;
Stanley Luftschein, MD;
Stephen G. Baum, MD
Arch Intern Med. 1977;137(9):1171-1174.
Abstract
Three patients with endocarditis caused by Streptococcus mutans were seen during a six-month period. All had clinical features of subacute bacterial endocarditis, including fever, heart murmurs, and positive blood cultures. One had underlying aortic insufficiency and two had idiopathic hypertrophic subaortic stenosis. All patients were treated with parenteral antibiotics and were cured. Streptococcus mutans is a pleomorphic, microaerophilic organism that is associated with dental caries and plaque. Differentiation of S mutans from enterococcal endocarditis is important because the former condition can be treated for a shorter period of time with penicillin alone, without the addition of aminoglycoside antibiotics.
(Arch Intern Med 137:1171-1174, 1977)
Author Affiliations
From the Departments of Medicine (Division of Infectious Diseases), (Drs Robbins, Tanowitz, Luftschein, and Baum) Pathology (Dr Tanowitz), and Laboratory Medicine (Dr Szilagyi), Albert Einstein College of Medicine and Montefiore Hospital and Medical Center; Bronx, NY.
Footnotes
Accepted for publication Oct 11, 1976.
Reprint requests to Department of Pathology, Albert Einstein College of Medicine, 1300 Morris Park Ave, Bronx, NY 10461 (Dr Tanowitz).
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