Staff View: A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement

A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement

Infective endocarditis during breastfeeding is rare. To the best of the authors’ knowledge, this is the second recorded case of infective endocarditis in a lactating mother. It is known that women of child-bearing age are susceptible to infective endocarditis during pregnancy when the immune system...

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Main Authors:	Mohammad Sallehuddin, Hakimah, Zakariah, Siti Zulaikha, Inche Mat, Liyana Najwa, Wan Zukiman, Wan Zul Haikal Hafiz, Hoo, Fan Kee, Ming, Tan Wei
Format:	Article
Language:	English
Published:	Academy of Family Physicians of Malaysia 2019
Online Access:	http://psasir.upm.edu.my/id/eprint/80457/1/MITIS.pdf http://psasir.upm.edu.my/id/eprint/80457/ https://pubmed.ncbi.nlm.nih.gov/31827735/
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spelling	my.upm.eprints.804572020-11-10T07:21:30Z http://psasir.upm.edu.my/id/eprint/80457/ A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement Mohammad Sallehuddin, Hakimah Zakariah, Siti Zulaikha Inche Mat, Liyana Najwa Wan Zukiman, Wan Zul Haikal Hafiz Hoo, Fan Kee Ming, Tan Wei Infective endocarditis during breastfeeding is rare. To the best of the authors’ knowledge, this is the second recorded case of infective endocarditis in a lactating mother. It is known that women of child-bearing age are susceptible to infective endocarditis during pregnancy when the immune system is compromised. Nevertheless, past cases were also exposed to a systemic infection via milk infected by their infant's oral commensal. Streptococcus mitis (S.Mitis) endocarditis in pregnancy has also been reported, whereby a lady delivered via caesarean section and underwent mitral valve reconstruction and annuloplasty. S. mitis is considered a pioneer streptococci commensal in human oral mucosa, appearing as early as 1-3 days after delivery. As a child grows, their oral mucosa will be colonized by more viridans streptococci, including the teeth, oropharynx and nasopharynx. In a mother who breastfeeds, a crack in the nipple and breast engorgement can be predisposing factors for systemic infection stemming from an infant's oral commensal. Both cases of breastfeeding-related infective endocarditis caused by pioneer streptococcus viridans, S.mitis in our report and S.salivarius3 in the previous report, affected the left-sided valves. Academy of Family Physicians of Malaysia 2019 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/80457/1/MITIS.pdf Mohammad Sallehuddin, Hakimah and Zakariah, Siti Zulaikha and Inche Mat, Liyana Najwa and Wan Zukiman, Wan Zul Haikal Hafiz and Hoo, Fan Kee and Ming, Tan Wei (2019) A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement. Malaysian Family Physician, 14 (2). pp. 36-38. ISSN 1985-207X https://pubmed.ncbi.nlm.nih.gov/31827735/
institution	Universiti Putra Malaysia
building	UPM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Putra Malaysia
content_source	UPM Institutional Repository
url_provider	http://psasir.upm.edu.my/
language	English
description	Infective endocarditis during breastfeeding is rare. To the best of the authors’ knowledge, this is the second recorded case of infective endocarditis in a lactating mother. It is known that women of child-bearing age are susceptible to infective endocarditis during pregnancy when the immune system is compromised. Nevertheless, past cases were also exposed to a systemic infection via milk infected by their infant's oral commensal. Streptococcus mitis (S.Mitis) endocarditis in pregnancy has also been reported, whereby a lady delivered via caesarean section and underwent mitral valve reconstruction and annuloplasty. S. mitis is considered a pioneer streptococci commensal in human oral mucosa, appearing as early as 1-3 days after delivery. As a child grows, their oral mucosa will be colonized by more viridans streptococci, including the teeth, oropharynx and nasopharynx. In a mother who breastfeeds, a crack in the nipple and breast engorgement can be predisposing factors for systemic infection stemming from an infant's oral commensal. Both cases of breastfeeding-related infective endocarditis caused by pioneer streptococcus viridans, S.mitis in our report and S.salivarius3 in the previous report, affected the left-sided valves.
format	Article
author	Mohammad Sallehuddin, Hakimah Zakariah, Siti Zulaikha Inche Mat, Liyana Najwa Wan Zukiman, Wan Zul Haikal Hafiz Hoo, Fan Kee Ming, Tan Wei
spellingShingle	Mohammad Sallehuddin, Hakimah Zakariah, Siti Zulaikha Inche Mat, Liyana Najwa Wan Zukiman, Wan Zul Haikal Hafiz Hoo, Fan Kee Ming, Tan Wei A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement
author_facet	Mohammad Sallehuddin, Hakimah Zakariah, Siti Zulaikha Inche Mat, Liyana Najwa Wan Zukiman, Wan Zul Haikal Hafiz Hoo, Fan Kee Ming, Tan Wei
author_sort	Mohammad Sallehuddin, Hakimah
title	A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement
title_short	A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement
title_full	A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement
title_fullStr	A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement
title_full_unstemmed	A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement
title_sort	rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement
publisher	Academy of Family Physicians of Malaysia
publishDate	2019
url	http://psasir.upm.edu.my/id/eprint/80457/1/MITIS.pdf http://psasir.upm.edu.my/id/eprint/80457/ https://pubmed.ncbi.nlm.nih.gov/31827735/
_version_	1683232226405253120
score	13.211869

A rare case of streptococcus mitis infective endocarditis complicated by heart failure in a lactating mother with recurrent breast engorgement

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