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Peer-reviewedCC BY-NC-ND 4.0IDCases

Invasive group A streptococcal endocarditis on an amplatzer septal occluder

  • Daniel Leshin-Carmel1
  • Sharon Bruoha2,3
  • Vadim Berezovsky3,4
  • Yehonatan Bar Nur3,4
  • Namazov Ahmet3,5
  • Daniel J Jakobson3,4
  • Chaim Yosefy2,3
  • Ofer Gemer3,5
  • Evgenia Tsyba1,3
5 affiliations
  1. 1Infection Division, Barzilai Medical Center, Ashkelon, Israel
  2. 2Cardiology Department, Barzilai Medical Center, Ashkelon, Israel
  3. 3Ben-Gurion University of the Negev, Beer-Sheva, Israel
  4. 4Intensive Care Unit, Barzilai Medical Center, Ashkelon, Israel
  5. 5Obstetrics and Gynecology department, Barzilai Medical Center, Ashkelon, Israel
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Abstract

We report the first case of late-onset Streptococcus pyogenes endocarditis on an Amplatzer Septal Occluder, appearing five years post-implantation. Seeding originated from an infected intrauterine device, resulting in multi-organ embolization. This case highlights that interatrial occluding devices can remain vulnerable to hematogenous seeding even years after implantation, requiring multidisciplinary management.

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Cite

BibTeXRIS
BibTeX
@article{leshincarmel2026invasive,
  title = {{Invasive group A streptococcal endocarditis on an amplatzer septal occluder}},
  author = {Daniel Leshin-Carmel and Sharon Bruoha and Vadim Berezovsky and Yehonatan Bar Nur and Namazov Ahmet and Daniel J Jakobson and Chaim Yosefy and Ofer Gemer and Evgenia Tsyba},
  journal = {IDCases},
  year = {2026},
  month = oct,
  doi = {10.1016/j.idcr.2026.e02804},
  url = {https://doi.org/10.1016/j.idcr.2026.e02804},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Invasive group A streptococcal endocarditis on an amplatzer septal occluder
AU  - Daniel Leshin-Carmel
AU  - Sharon Bruoha
AU  - Vadim Berezovsky
AU  - Yehonatan Bar Nur
AU  - Namazov Ahmet
AU  - Daniel J Jakobson
AU  - Chaim Yosefy
AU  - Ofer Gemer
AU  - Evgenia Tsyba
PY  - 2026
DA  - 2026/10/14
JO  - IDCases
DO  - 10.1016/j.idcr.2026.e02804
UR  - https://doi.org/10.1016/j.idcr.2026.e02804
AB  - We report the first case of late-onset Streptococcus pyogenes endocarditis on an Amplatzer Septal Occluder, appearing five years post-implantation. Seeding originated from an infected intrauterine device, resulting in multi-organ embolization. This case highlights that interatrial occluding devices can remain vulnerable to hematogenous seeding even years after implantation, requiring multidisciplinary management.
SN  - 2214-2509
ER  -