Article Text

Download PDFPDF

Infective endocarditis from Enterococcus faecalis complicating colonoscopy in Heyde’s syndrome
  1. M Giusti de Marle,
  2. A Sgreccia,
  3. E Carmenini,
  4. S Morelli
  1. Department of Internal Medicine, Università “La Sapienza”, Rome, Italy
  1. Correspondence to:
 Dr Sergio Morelli
 Department of Internal Medicine, Università “La Sapienza”, Viale del Policlinico 155, 00161 Rome, Italy;


A case of infective endocarditis from Enterococcus faecalis after colonoscopy in a patient with aortic stenoinsufficiency and bleeding intestinal angiodysplasia (Heyde’s syndrome) is reported.

A 77 year old man with aortic stenoinsufficiency presented with enterorrhagia and underwent a colonoscopy, which showed normal findings. Fifteen days later he developed a moderate degree of fever. Blood cultures were positive for E faecalis. An echocardiogram showed aortic valve vegetations, and infective endocarditis was diagnosed and successfully treated by antibiotics. Some months later, intestinal bleeding recurred and intestinal resection was performed. Histopathology showed angiodysplasia.

In patients with Heyde’s syndrome antibiotic prophylaxis should be considered before colonoscopy.

  • gastrointestinal angiodysplasia
  • aortic stenosis
  • infective endocarditis
  • Enterococcus faecalis
  • colonoscopy

Statistics from


    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.