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    Subjects/Medicine/Infective Endocarditis
    Infective Endocarditis
    medium
    stethoscope Medicine

    A 35-year-old man with a history of rheumatic mitral stenosis presents with fever, new cardiac murmur, and splinter hemorrhages. Blood cultures grow Streptococcus viridans. What is the drug of choice for treatment of this infective endocarditis?

    A. Ceftriaxone monotherapy
    B. Fluoroquinolone monotherapy
    C. Penicillin G (high-dose IV) + Gentamicin
    D. Vancomycin + Rifampicin

    Explanation

    ## Drug of Choice for Streptococcus viridans Endocarditis **Key Point:** Penicillin G (high-dose IV) combined with gentamicin is the gold standard first-line regimen for native valve endocarditis caused by penicillin-susceptible streptococci (including S. viridans). ### Rationale for Penicillin G + Gentamicin 1. **Penicillin G** — bactericidal against streptococci; achieves excellent intracardiac penetration at high doses (18–24 million units/day IV in divided doses) 2. **Gentamicin** — synergistic aminoglycoside that enhances bactericidal activity and shortens duration of bacteremia; typically dosed at 3 mg/kg/day IV in divided doses 3. **Duration** — 4 weeks for native valve, 6 weeks for prosthetic valve (in susceptible strains) ### Comparison of Regimens | Agent | Indication | Notes | |-------|-----------|-------| | **Penicillin G + Gentamicin** | Penicillin-susceptible streptococci (native valve) | First-line; synergistic; 4-week course | | Ceftriaxone | Alternative if β-lactam allergy (non-anaphylaxis) | Less preferred than penicillin for streptococci | | Vancomycin + Rifampicin | MRSA, prosthetic valve, or penicillin allergy (anaphylaxis) | Reserved for resistant organisms or allergy | | Fluoroquinolones | Oral step-down therapy only; NOT monotherapy | Poor intracardiac penetration; inadequate for acute IE | **High-Yield:** The combination of penicillin + gentamicin is **synergistic** — gentamicin enhances penicillin's bactericidal effect and is critical for rapid sterilization of vegetations. **Clinical Pearl:** S. viridans is an alpha-hemolytic streptococcus commonly found in the oral flora and is the most frequent cause of subacute endocarditis in patients with underlying valvular disease (e.g., rheumatic heart disease). **Warning:** Do NOT use fluoroquinolones or cephalosporins as monotherapy for acute IE — they lack the synergy needed for rapid cure and have unacceptably high failure rates.

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