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Original Article
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Korean J Med. 2010;78(1):138-143.
- 수막염을 합병한 폐렴알균 심내막염 1예
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권종규, 권혁용, 은동엽, 이재광, 이경숙, 최진우, 권기태
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- A case of pneumococcal endocarditis complicated by meningitis
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Jong Kyu Kwon, Hyuck Yong Kwon, Dong Yeub Eun, Jae Gwang Lee, Kyoung Suk Lee, Jin Woo Choi, Ki Tae Kwon
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- Abstract
- 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)
Keywords :Streptococcus pneumoniae, Infective endocarditis, Meningitis
