%0 Journal Article
%T Group B streptococcal infective endocarditis in a young non-pregnant female with rheumatic heart disease - A Case Report
%A D. Wariyapola
%A J. Herath
%A K. Jayatilleke
%A K. V. C. Janaka
%A M. Alles
%A N. Amarasena
%A S. Chandrasiri
%A S. Pathirage
%J Sri Lankan Journal of Infectious Diseases
%D 2019
%R 10.4038/sljid.v9i2.8250
%X <p>Group B <em>Streptococcus</em> (GBS) is a rare cause of infective endocarditis in adults associated with a high mortality rate due to the frequent occurrence of local and systemic complications. Here we report a case of infective endocarditis (IE) in a young non-pregnant female with a history of rheumatic heart disease (RHD) who presented with a short history of fever, shortness of breath and constitutional symptoms. GBS was isolated from a single blood culture along with echocardiographic findings of a cardiac vegetation and ophthalmologic findings of a Roth spot. Based on the Modified Duke Criteria, a definitive diagnosis of infective endocarditis was made. She was treated with a prolonged course of intravenous (IV) ceftriaxone, with gentamicin being added to the regimen, following which she made a complete recovery.</p
%U https://sljid.sljol.info/articles/10.4038/sljid.v9i2.8250/