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  • Title: Infective endocarditis due to Streptococcus sanguis I occurring on a normal mitral valve.
    Author: Rao M, John G, Ganesh A, Jose J, Lalitha MK, John L.
    Journal: J Assoc Physicians India; 1990 Nov; 38(11):866-8. PubMed ID: 2079476.
    Abstract:
    We report a 64 year old lady in whom infective endocarditis of the mitral valve occurred with no previous underlying heart disease. Streptococcus sanguis I was isolated on blood culture and 2-D echo cardiography showed a vegetation on the anterior mitral leaflet. The viridans group of streptococci are classically associated with subacute endocarditis occurring on structurally abnormal valves, but involvement of a normal valve by these organisms is rare.
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