Recurrent valvular replacement due to exacerbation of Behcet's disease by Streptococcus agalactiae infection

Eur J Intern Med. 2003 Mar;14(2):120-122. doi: 10.1016/s0953-6205(03)00019-0.

Abstract

Valvular heart complications in Behcet's disease are rarely reported. Moreover, the risk of dehiscence in postoperative valvular replacement is high in Behcet's disease. We report a case of recurrent aortic prosthetic dehiscence revealing Behcet's disease in a young woman. Each disease exacerbation was concomitant to a Streptococcus agalactiae infection. This infection appears to act as a trigger for Behcet's disease exacerbation. The patient was successfully treated with immunosuppression plus antibiotic therapy.