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  • Title: Pneumococcal endocarditis of subacute evolution.
    Author: Uemura L, Grassi NC, Cazarin L.
    Journal: Arq Bras Cardiol; 2001 Apr; 76(4):319-22. PubMed ID: 11323735.
    Abstract:
    With the development of penicillin, Streptococcus pneumoniae has become an uncommon cause of bacterial endocarditis in adults. Subacute manifestation of pneumococcal endocarditis has been reported a few times in the literature, but most reports define the disease as acute, severe, and having a high mortality rate. We report the case of a 58-year-old male with subacute bacterial endocarditis due to Streptococcus pneumoniae. We stress the low frequency of this agent as a cause of endocarditis and the atypical evolution of this case. The pathophysiology, clinical manifestations and evolution, and the therapeutical options for this type of infection are also discussed.
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