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[Citrobacter freundii endocarditis].

C Clemente González1, J Ruiz Aguirre, E Vilert Garrofa

  • 1Servicio de Medicina Interna, Hospital Dr. Josep Trueta, Girona.

Anales De Medicina Interna (Madrid, Spain : 1984)
|September 11, 1999
PubMed
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Citrobacter freundii rarely causes endocarditis, typically affecting elderly or immunocompromised patients. This case highlights a rare instance of Citrobacter freundii endocarditis in an elderly patient with pre-existing valvulopathy.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Cardiology

Background:

  • Citrobacter species are opportunistic pathogens, usually acting as contaminants or colonizers in humans.
  • Bacteraemia caused by Citrobacter can occur in immunocompromised individuals, the elderly, or those with invasive hospital procedures.
  • While Citrobacter bacteraemia has a low incidence (0.3-0.9%), it carries a high mortality rate of approximately 48%.

Observation:

  • This report details a rare case of endocarditis caused by Citrobacter freundii.
  • The patient was an elderly individual with a history of valvular heart disease.
  • Citrobacter freundii is an uncommon cause of infective endocarditis.

Findings:

  • The case presented is a rare occurrence of Citrobacter freundii-induced endocarditis.

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  • The patient's age and pre-existing valvulopathy were significant factors.
  • This highlights the potential for Citrobacter to cause severe infections in vulnerable populations.
  • Implications:

    • This case underscores the importance of considering Citrobacter species in the differential diagnosis of endocarditis, especially in at-risk patients.
    • Further research may be warranted to understand the specific mechanisms and risk factors associated with Citrobacter endocarditis.
    • Clinicians should maintain a high index of suspicion for Citrobacter infections in elderly patients with valvular heart disease and invasive procedures.