Afebrile multi-valve infective endocarditis caused by Lactococcus garvieae: A case report and literature review

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초록

Lactococcus garvieae is considered to be a rare pathogen with low virulence in humans. We herein experienced an unusual case of multi-valve infective endocarditis caused by L. garvieae in an elderly woman who had undergone bioprosthetic mitral valve replacement due to severe mitral stenosis with rheumatic etiology. The patient was successfully treated with cardiac surgery after teicoplanin antimicrobial therapy failure followed by ceftriaxone treatment. L. garvieae was confirmed as the pathogen through 16S rRNA sequencing. To the best of our knowledge, this is the first case to indicate an effective treatment for infective endocarditis caused by L. garvieae in the Republic of Korea. © 2016 The Japanese Society of Internal Medicine.

키워드

Bacteremia; Endocarditis; Heart valve prosthesis; Lactococcus garvieae; amiodarone; amoxicillin plus clavulanic acid; C reactive protein; cefotaxime; ceftriaxone; cilostazol; clindamycin; digoxin; furosemide; gentamicin; levofloxacin; meropenem; penicillin derivative; rifampicin; RNA 16S; teicoplanin; vancomycin; warfarin; antiinfective agent; teicoplanin; aged; antibiotic sensitivity; bacterial endocarditis; cardiomegaly; case report; creatinine blood level; drug monitoring; dyspnea; female; heart failure; heart surgery; hemoglobin blood level; human; Lactococcus garvieae; leukocyte count; loading drug dose; lung edema; minimum inhibitory concentration; mitral valve stenosis; neutrophil; physical examination; Review; Streptococcus sanguinis; thorax radiography; thrombocyte count; transthoracic echocardiography; urea nitrogen blood level; adverse effects; Endocarditis, Bacterial; Gram-Positive Bacterial Infections; heart valve prosthesis; Lactococcus; microbiology; mitral valve stenosis; South Korea; Aged; Anti-Bacterial Agents; Endocarditis, Bacterial; Female; Gram-Positive Bacterial Infections; Heart Valve Prosthesis; Humans; Lactococcus; Mitral Valve Stenosis; Republic of Korea; Teicoplanin
제목
Afebrile multi-valve infective endocarditis caused by Lactococcus garvieae: A case report and literature review
저자
Suh, Yooseok; Kim, Min Ja; Jung, Jae Seung; Chong, Yong Pil; Kim, Chul Hwan; Kang, Young Jin; Sohn, Jang Wook; Yoon, Young Kyung
DOI
10.2169/internalmedicine.55.5935
발행일
2016-04
유형
Article
저널명
Internal Medicine
권
55
호
8
페이지
1011 ~ 1015