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KMID : 0882420100780010138
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Korean Journal of Medicine
2010 Volume.78 No. 1 p.138 ~ p.143
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A case of pneumococcal endocarditis complicated by meningitis
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Kwon Jong-Kyu
Kwon Hyuck-Yong
Eun Dong-Yeub
Lee Jae-Kwang
Lee Kyoung-Suk
Choi Jin-Woo
Kwon Ki-Tae
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Abstract
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Streptococcus pneumoniae is an infrequent cause of infective endocarditis in the penicillin era. This infection typically follows pneumonia in the setting of chronic alcoholism and may be complicated by meningitis. Only one adult case of pneumococcal endocarditis (PE) has been reported in Korea. We report the case of a 73-year-old woman who suffered from PE complicated by embolic cerebral infarction and meningitis. This is the first Korean case of PE complicated with meningitis. The patient was treated medically and died from a cardiac complication. This case shows that PE is difficult to treat without surgery because its evolution is usually acute and very aggressive; it has a high rate of local and systemic complications despite the administration of appropriate antibiotics. (Korean J Med 78:138-143, 2010)
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KEYWORD
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Streptococcus pneumoniae, Infective endocarditis, Meningitis
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