Infective endocarditis with atypical clinical feature and relapse by Abiotrophia defectiva

Bozkurt İ., Çoksevim M., Cerik I. B., Gülel O., Tanyel E., Leblebicioglu H.

JOURNAL OF THE SAUDI HEART ASSOCIATION, cilt.29, sa.2, ss.136-138, 2017 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 2
  • Basım Tarihi: 2017
  • Doi Numarası: 10.1016/j.jsha.2016.06.003
  • Dergi Adı: JOURNAL OF THE SAUDI HEART ASSOCIATION
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus
  • Sayfa Sayıları: ss.136-138
  • Anahtar Kelimeler: Abiotrophia defective, Echocardiography, Endocarditis, VALVE ENDOCARDITIS, GRANULICATELLA, DISEASE
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

A case of infective endocarditis caused by an uncommon agent Abiotrophia defectiva with atypical manifestations is presented. A 42-year-old woman previously had rheumatic heart disease, presented with the symptoms of fever and chills that resolved within 3 days under antibiotherapy. She was diagnosed with endocarditis due to A. defectiva. Despite culture-directed antibiotics being administered in the first admission, her symptoms and also blood culture growth relapsed 3 weeks later. She was successfully treated with antimicrobial therapy and surgical intervention including aorta and mitral valve replacement. This case demonstrates that A. defectiva should be considered as a causative organism of endocarditis particularly in the presence of atypical symptoms and should be followed up carefully in terms of relapses and complications. (C) 2016 The Authors. Production and hosting by Elsevier B.V. on behalf of King Saud University. This is an open access article under the CC BY-NC-ND license.