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Assessing Bacterial Invasion of Cardiac Cells in Culture and Heart Colonization in Infected Mice Using Listeria monocytogenes
Published on: May 27, 2015
Listeria endocarditis causing aortic root abscess and a fistula to the left atrium
1Department of Cardiology, Stobhill Hospital, Glasgow.
Abstract:
We report the case of a 74-year-old man who presented with endocarditis on a porcine aortic valve replacement. Five of six blood cultures grew listeria monocytogenes. Transoesophageal echocardiography demonstrated the presence of a cavity posterior to the aortic annulus, apparently communicating with the left atrium. The patient underwent successful aortic valve re-replacement. Listeria endocarditis is rare with only 58 reported cases in the literature and is associated with high mortality.
Insights
Listeria endocarditis, a rare infection of heart valves, occurred in a patient with a porcine aortic valve replacement. Prompt treatment and valve re-replacement led to a successful outcome in this high-mortality condition.
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiac Surgery
Background:
- Endocarditis is an infection of the heart's inner lining or valves.
- Prosthetic valve endocarditis (PVE) poses significant risks, especially with certain pathogens.
- Listeria monocytogenes is an uncommon cause of infective endocarditis.
Observation:
- A 74-year-old male presented with symptoms suggestive of endocarditis.
- The patient had a history of porcine aortic valve replacement.
- Blood cultures revealed Listeria monocytogenes infection.
Findings:
- Transesophageal echocardiography identified a cavity posterior to the aortic annulus, communicating with the left atrium.
- The patient underwent successful aortic valve re-replacement.
- Listeria endocarditis is a rare condition, with limited reported cases.
Implications:
- This case highlights the importance of considering Listeria monocytogenes in prosthetic valve endocarditis.
- Early diagnosis and surgical intervention are crucial for managing this severe infection.
- Further research into Listeria endocarditis pathogenesis and treatment is warranted.
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