Student Edward Via College of Osteopathic Medicine Cary, North Carolina, United States
Clinical Scenario or Case: In this article, we report a case of bilateral subcoracoid septic bursitis due to Streptococcus mitis associated with prosthetic valve endocarditis following a routine dental cleaning.
Evidence/Literature Review: Streptococcus mitis has been documented to cause complications such as hip adductor pyomyositis and glenohumeral joint sepsis. In the presence of a prosthetic valve, Streptococcus mitis has also been seen to cause complete heart block and paravalvular abscess. Although Streptococcus mitis is not a rare cause of prosthetic valve endocarditis, in our search of the literature, we did not find any reported cases of bilateral septic bursitis, due Streptococcus mitis, as a result of hematogenous seeding.
Unique Aspects of Case: In rare cases, Streptococcus mitis has been reported in causing septic bursitis. However, in this case, we report hematogenous spread of Streptococcus mitis causing prosthetic valve endocarditis, with subsequent simultaneous bilateral spread to the subcoracoid bursae, causing septic bursitis, which is exceptionally rare and unreported.
Recommendations/Conclusions: This case highlights an uncommon manifestation of Streptococcus mitis and illustrates the importance of considering atypical manifestations of infections in patients with prosthetic valves, especially those who present with unusual musculoskeletal symptoms.
