A 31-year-old patient without past history of cardiac disease presented with an atypical form of Streptococcus milleri endocarditis. The disease progressed in an unusually aggressive manner, with abscess formation in the apex of the left ventricular cavity. The cardiac valves functioned normally and were not affected by the disease.
BisnoAB. Streptococcal infections. In BraunwaldE, IsselbacherKJ, PetersdorfRS, WilsonJD, MartinJS, FauciAS eds. Harrison's Principles of Internal Medicine. New York, USA: McGraw-Hill, 1987: 543–50.
3.
Maximilian BujaL. The heart. In RobbinsSL, KumarV, eds. Basic Pathology. Philadelphia, USA: WB Saunders, 1987: 312–50.
4.
WeinsteinL. Schlesinger JJ. Pathoanatomic, pathophysiologic and clinical correlations in endocarditis (first part). N Engl J Med1974; 291: 832–7.
5.
RodbardS. Blood velocity and endocarditis. Circulation1963; 27: 18–28.
6.
LepeschkinE. On the relation between the site of valvular involvement in endocarditis and the blood pressure resting on the valve. Am J Med Sci1952; 224: 318–19.
7.
von ReynCF, LevyBS, ArbeitRD, FriedlandG, CrumpackerCS. Infective endocarditis: an analysis based on strict case definitions. Ann Intern Med1981; 94: 505–17.
8.
CerqueiraMD, JacobsonAF. Indium-111 leukocyte scintigraphic detection of myocardial abscess formation in patients with endocarditis. J Nucl Med1989; 30: 703–6.
9.
Al JubàirK, Al FagihMR, AshmegA, BelhajM, SawyerW. Cardiac operations during active endocarditis. J Thorac Cardiovasc Surg1992; 104: 487–90.
10.
PelletierLL, PetersdorfRG. Infective endocarditis: a review of 125 cases from the University of Washington Hospitals, 1963-72. medicine1977; 56: 287–313.
11.
Gonzalez VilchezFJ, Martin DuranR, DelgadoRamis C. Active infective endocarditis complicated by paravalvular abscess. Review of 40 cases. Rev Esp Cardiol1991; 44: 306–12.
